Within this page, you will find Industry Perspective blogs written by the UCA Corporate Support Partners (CSP); Insights from UCA Chief Executive Officer Lou Ellen Horwitz; Practice Management blogs to help you better manage center operations; and bonus UCA education in Educational Insights.


EDUCATIONAL INSIGHTS: UCA2019 Convention Take Home Tactics Dose 11: Billing Update for 2019

Posted: Sep 10, 2019
Comments: 0
Author: UCA Admin

We want to make sure you are continuing the conversations started at the 2019 Urgent Care Convention & Expo by giving you Take Home Tactics.

Share this with your staff as a way of offering everyone the opportunity to change the way they look at on-demand medicine.

In Urgent Care, it’s important to monitor all types of code change as it will improve billing processes and revenue cycle management for your urgent care operation.  Speaker Jay Tolia walked attendees through CPT coding changes for 2019 and referenced ICD10 changes as well.

Take Home Tactic #1: When do ICD10 and CPT changes occur? 

Keep these time frames in mind for when the published changes occur:

  • CPT codes changes effective Jan 1 every year
  • HCPCS Codes changes effective Jan 1 every year
  • ICD10 codes changes October 1 every year
  • In addition, Code Updates every quarter

For a complete listing for 2019, visit this CDC link.

Take Home Tactic #2: New CPTs – why are they important to me? “CPT codes offer a common language for reporting current procedures and changes often reflect new technological, scientific advancements, changes to care protocols, and regulatory requirements.  These updates reflect the ability to better share information efficiently and accurately across the medical community.  New codes mean potential, new revenue and use of an old code incorrectly can result in denials.  For more information, click here.

Take Home Tactic #3: When in doubt, train and educate! “It’s important to stay in-the-know about these changes.  The CMS Newsroom offers a good resource but there are others.  Also, take advantage of online resources and educational offerings such as UCA’s annual conventions.”


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Mr. Jay Tolia has more than 25 years of experience in the medical billing industry. He has experience working on many facets of the billing industry, including developing an entire Practice Management Software System, incorporating EDI standards as well as data analyses for Revenue Cycle Management. Additionally, he has experience in billing and coding for many specialties such as Primary Care, Urgent Care, Internal Medicine, Gastroenterology, Pediatrics, Endocrinology, Orthopedic Surgery, General Surgery, Colorectal Surgery, Gynecology, Ophthalmology, Oculoplastic Surgery, Psychiatry, Pathology, Radiology, Cardiology, etc. As President of a successful medical billing business, Mr. Tolia has vast experience within many facets of the medical billing industry. From startups to well established practices, Mr. Tolia has helped many practices grow into successful enterprises.








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