What CCM and AWV Undercoding Is Costing California Primary Care Practices Entering Q3?

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As California primary care practices enter Q3, many are preparing for increased patient volume, preventive care visits, and chronic disease management. However, while physicians focus on delivering quality care, many practices continue to lose substantial revenue due to CCM (Chronic Care Management) and AWV (Annual Wellness Visit) undercoding. Undercoding occurs when services are billed at a lower level than documentation supports or when eligible CCM and AWV services are not billed at all. Although these errors may appear minor, they can significantly reduce reimbursement over time, creating hidden revenue leaks that impact cash flow, profitability, and practice growth. As payer scrutiny increases in 2026, accurate coding and documentation are more important than ever. Many providers are turning to specialized Primary Care Billing Services , medical billing services , and comprehensive RCM services to improve coding accuracy, reduce denials, and maximize reimbursement. Why CCM and ...
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MPFS Strengthening Behavioral Health Billing for 2023

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CY 2023 Medicare Physician Fee Schedule (MPFS)

The Centers for Medicare and Medicaid Services (CMS) on Nov. 1, 2022, released the final 2023 Medicare Physician Fee Schedule (MPFS), addressing Medicare payment and quality provisions in the coming year. The U.S. Department of Health and Human Services (HHS) through its Centers for Medicare & Medicaid Services (CMS) is expanding access to behavioral health care. The Calendar Year 2023 Physician Fee Schedule (PFS) final rule announced today also promotes innovation and coordinated care in the Medicare program through Accountable Care Organizations (ACOs). This rule directly supports the Administration’s commitment to strengthening behavioral health, which the President outlined in his first State of the Union Address, and the comprehensive strategy to tackle the nation’s mental health crisis. In this article, we shared key behavioral health billing updates from CY 2023 MPFS which would act as a baseline for your behavioral health billing for 2023.

MPFS Strengthening Behavioral Health Billing for 2023

In light of the current needs among Medicare beneficiaries for improved access to behavioral health services, CMS has considered regulatory revisions that may help to reduce existing barriers and make greater use of the services of behavioral health professionals, such as licensed professional counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs). Therefore, CMS is finalizing the proposal to add an exception to the direct supervision requirement under our ‘incident to’ regulation at 42 CFR 410.26 to allow behavioral health services to be provided under the general supervision of a physician or non-physician practitioner (NPP), rather than under direct supervision, when these services or supplies are furnished by auxiliary personnel, such as LPCs and LMFTs, incident to the services of a physician (or NPP).

To know more about MPFS Strengthening Behavioral Health Billing for 2023 click here: http://bit.ly/3EpZTry Contact us at info@medicalbillersandcoders.com/ 888-357-3226.


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