{"id":25357,"date":"2022-03-31T16:41:05","date_gmt":"2022-03-31T11:11:05","guid":{"rendered":"https:\/\/mobisoftinfotech.com\/resources\/?p=25357"},"modified":"2025-12-10T13:04:04","modified_gmt":"2025-12-10T07:34:04","slug":"preparing-for-2022-cpt-code-changes-remote-patient-care","status":"publish","type":"post","link":"https:\/\/mobisoftinfotech.com\/resources\/blog\/preparing-for-2022-cpt-code-changes-remote-patient-care","title":{"rendered":"Preparing for the 2022 CPT Code Changes Evolving Remote Patient Care"},"content":{"rendered":"

Each year, new Current Procedural Terminology (CPT) codes are renewed by the American Medical Association (AMA). The 2022 CPT code changes are minimal and it brings forth modifications to the existing descriptors and codes in the healthcare system. CPT billing codes create an influx of revenue streams through remote patient monitoring and remote therapeutic monitoring avenues. <\/p>\n\n\n\n

As the remote patient monitoring CPT codes landscape keeps expanding, CMS has revised some of the key RPM CPT codes for 2022 at an affordable rate. The Centers for Medicare and Medicaid Services proposed and published its Medicare Physician Fee Schedule for 2022. In the new CPT codes for 2022, CMS recognized close to 5 new CPT codes for remote therapeutic monitoring, focussed on COVID-19 specific CPT codes 2022, and for CPT codes in chronic care management. <\/p>\n\n\n\n

Before speaking about the 2022 coding changes in CPT, let\u2019s understand what their code changes signify.<\/p>\n\n\n\n

Significance of 2022 CPT Code Changes<\/h2>\n\n\n\n

The healthcare industry in the US is regularly evolving with the inclusion of driving factors like advanced digital health technology, regulatory guidelines, interoperability of data, a shift in value-based care payment models, the changing patient demographics, and consumer experiences. The innovation in care delivery services has included the telehealth CPT codes 2022 and the COVID-19 codes have also been remodified to ensure the healthcare revenue cycle.<\/p>\n\n\n\n

As healthcare businesses provide multi-faceted services through medical coding and billing services, physicians need to navigate successfully the new trends in the healthcare scenario. <\/p>\n\n\n\n

Here are a few trends in medical billing and coding services in 2022. <\/p>\n\n\n\n

1<\/span> Inpatient Prospective Payment System FY 2022<\/b><\/h5>\n\n\n\n

The Inpatient Prospective Payment System (IPPS) final rule for the fiscal year (FY) 2022 increased the hospital reimbursement value by 2.5% and also increased the rates for COVID-19 therapies and diagnostics. 2022 final rule now has included the codes for procedures and diagnostics and Medicare groups with severe diagnosis-related adjustments. The IPPS for FY 2022 focuses to improve the quality of measurement and data evaluations in the healthcare department.  CMS is aiming to leverage the lessons learned during the pandemic to improve the care quality and enhance patient-provider transparency for taking better and more informed decisions regarding their care. <\/p>\n\n\n\n

2<\/span> Medical PFS 2021<\/b><\/h5>\n\n\n\n

The Medicare Physician Fee Schedule (PFS) included the changes in reporting E\/M services, enhancing payment for special services, reducing payment structure for other healthcare concerns, and expanding the telehealth provision list. All of these inclusions are playing a significant role with the help of medical insurance codes and CPT billing codes.<\/p>\n\n\n\n

3<\/span> 2022 New medical coding<\/b><\/h5>\n\n\n\n

Since 2022, medical coding companies and healthcare providers have been dealing with challenges that hamper the assurance of receiving accurate clinical coding and documentation for the COVID virus that had no documents recorded before. The major changes in medical coding to account for COVID-related conditions have new CPT codes that detect the treatment and immunization and it is well expected in 2022. To the additional changes in the Medicare PFS, the ICD-10 codes for FY 2022 include at least 159 new coding changes, 22 codes have been revised, and 30 codes have been invalidated. The coding teams are gearing up to help providers utilize the new coding systems. <\/p>\n\n\n\n

4<\/span> Billing and documentation of virtual visits<\/b><\/h5>\n\n\n\n

The pandemic shifted patient care from outpatient to virtual visits and consultations. Telehealth usage has increased by almost 38 times since the coronavirus epidemic. The telemedicine rules are continuously changed and regulated due to this, and commercial and Medicare payers are required to have specific payment needs, especially when it observes virtual visits. Other than the rapid adoption of telehealth services see an increased rise in 2022 with the rise in chronic conditions and with the growing senior population with a shortage in physicians and providers. Unique and specific for telehealth CPT codes 2022 includes EM visits, new requirements for billing, and the usage of including code modifiers. This modifier 93 enables better reporting of medical services offered through real-time communication and interactions with providers and other healthcare professionals through technology-based only on audio communication. <\/p>\n\n\n\n

5<\/span> 2022 CPT code changes in claim denials<\/b><\/h5>\n\n\n\n

Billing services that are correlated to the pandemic is still a major challenge in healthcare. Almost 40% of rates were initially in claim denials for COVID-related cases in the first 9-10 months. In 2022, healthcare providers and medical coders are requested to work on documentation improvements to mitigate claim denial challenges which are one of the larger parts of compliance risks for healthcare organization businesses and generation of revenues. <\/p>\n\n\n\n

The 2022 CPT code changes and medical billing trends are evolving constantly. The teams involved in medical coding and billing organizations are understanding the importance of coding education to keep up with the healthcare technology trends. They are adhering to the top and best practices required in medical coding and billing ensuring accurate claims submissions and timely meets with the payer guidelines, and hospitals and healthcare providers are looking to maximize their reimbursements to improve the patient care experience. <\/p>\n\n\n\n

2022 CPT Code Changes in Remote Patient Monitoring for Reimbursement Rates<\/h2>\n\n\n\n

The final rule in 2022, CMS has offered its support to remote patient monitoring and telehealth with five new codes under remote therapeutic monitoring (RTM). With the expansion in remote patient monitoring, CMS revisited and revised some of the key remote patient monitoring CPT codes at affordable rates. The 2022 CPT code changes and reimbursements for the existing remote patient monitoring CPT codes are<\/a>:<\/p>\n\n\n\n