Knowing and understanding the coding changes for 2024 denials and delays in claims processing by insurance companies that hold up reimbursement will be avoided, and the office cash flow will be maintained. It is the provider's responsibility to know and understand the coding changes. Insurance companies normally give little to no education for the annual code changes unless they create or revise a current policy based on medical necessity, prior authorization, and coverage.

The entire staff of an office should understand services and procedures, as well as the needed documentation for compliance.

• Revisions to the 2021 and 2023 guidelines for Evaluation and Management services.
• The appropriate reporting of shared/split visits.
• Category III codes have now been deleted for new Category I codes to include surgery codes for the musculoskeletal system.
• New nasal/sinus endoscopy codes for ablation of nerves.
• Phrenic nerve, peripheral nerve, and skull-mounted cranial stimulator codes.
• Cystourethroscopy addition to replace 0499T.
• CPT code for uterine fibroid tumor ablation.
• Changes to pathology, laboratory, radiology, and medicine sections.

Each year the American Medical Association and the Center for Medicare and Medicaid Services approve additions, revisions, and deletions to the CPT® manual for coding professional services and procedures. These changes become effective each January 1st with no grace period.

This presentation will share with attendees the highlights of the 2024 changes so that there is an understanding of applying the changes to avoid reimbursement because of delayed or denied claims.

Attendees will understand the code changes for 2024 and learn firsthand the reasoning behind these changes and appropriate applications for compliant, clean claims.

They will also gain enough knowledge to educate others within their office for all to be aware.

• Billers
• Coders
• Administrators
• Collector
• Supervisors
• Claims adjusters
• Reimbursement Specialist
• Providers-Physicians, therapists, Non-Physician Providers
• Surgery Schedulers
• Prior authorization staff