PenCo Revenue Solutions, LLC

07/16/2025

https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-medicare-physician-fee-schedule-pfs-proposed-rule-cms-1832-p?fbclid=IwQ0xDSwLjz6xleHRuA2FlbQIxMQABHgsob-JI5l9tFOXYpdXYN_HUxG0FFggvmABYuC5oMTnubD1osbKYW0841pow_aem_oq4eLpsZUxYhcydJ6ZJnLA

Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule (CMS-1832-P)On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Sch...

01/20/2024

1/18/24 Updated guidance for G2211 from CMS. Take note of the required documentation needed for medical necessity to support billing.

01/13/2024

01/04/2024

When is it time to use G2211? AAPCs article will help you understand the dos and don’ts!

https://www.aapc.com/blog/89677-when-is-it-time-to-use-g2211/?fbclid=IwAR1GS8Ju36Yw7oR_IDY2cLqOZJaGrGgPzwujknq5LFO4UQ_xWoZyzv8udr4_aem_AehMxkATJ5ZtV4uvZnt0U78_RwhNjuq7EIxhQWEEq4KcF3vKk0doVHsnOwhgPVONDHY

Know when to use this add-on code to capture reimbursement for complex Medicare patient visits. Beginning Jan. 1, 2024, qualified healthcare providers can Know when to use add-on code G2211 to capture reimbursement for complex Medicare patient visits.

12/29/2023

For Hospitals, Physicians and Suppliers that have are CLIA certified, see the revised and newly FDA approved CLIA-Waived Tests.

https://www.cms.gov/files/document/mm13455-new-waived-tests.pdf

https://www.cms.gov/files/document/r12415cp.pdf

12/25/2023

12/05/2023

https://oig.hhs.gov/oas/reports/region6/61905002.asp?fbclid=IwAR31oyb5fsY0QE3-UiMYYLteGBrhIaHtVukZyvJsfLMpX0vwLnOMZM3WX10_aem_AXnontcVLxkBX1OZTX3nP2hG_chTT92AH4cJU8-OzDkQZajE_V5Q7KbrT_kPtMk-oEU

Specifically, for 220 of the 285 sampled enrollee-years, the diagnosis codes were not supported in the medical records or could not be supported because SelectCare could not locate the medical records and resulted in $482,601 in net overpayments.

11/28/2023

11/23/2023

Wishing everyone a Happy Thanksgiving from our family to yours!

11/17/2023

I think eCW is one do the best EMRs available for practices! Any information you need can be accessed right at your finger tips for the complete Revenue Cycle! Multiple report options, customization, even a dental module that integrates right in with your patients medical chart. Very user friendly if you have the right person training you!

I have gained a substantial amount knowledge working in eClinical Works for many years! If your staff needs training or you want your program evaluated to ensure you are getting the most out it, we can help. Contact us for a free consultation!

11/15/2023