Clinical Practice Resources

Access downloadable prior authorization templates for headache treatment, including letters of medical necessity for Gepants and CGRP inhibitors. Templates cover acute migraine, chronic migraine prevention, and pediatric patients to streamline insurance approval and support clinical documentation.

The foundation of an effective headache evaluation is thorough preparation, prepopulated EMR templates, and strategic staff support. These steps improve workflow, accuracy, and provider efficiency.

Updated outpatient E/M coding lets clinicians bill based on time or medical decision making. This guide walks through CPT levels, documentation essentials, and use of the new G2211 add-on code so headache practices can code accurately, compliantly, and with confidence.

Wellness and growth require intention, boundary-setting, and self-care. This guide covers embracing discomfort, prioritizing time, adopting new technology, choosing leaders wisely, hiring a coach, and engaging in legislative advocacy to reduce burnout and support sustainable professional wellbeing.

Prior Authorization (PA) can burden headache clinicians and patients alike. This guide outlines strategies to navigate denials, document medication history, involve patients, leverage generics, track costs, and ensure practices stay compliant while minimizing PA-related stress and financial loss.

Practical lessons from a first-year headache attending on coding, boundaries, patient communication, burnout prevention, and building your own practice style.

Practical lessons from a first-year headache attending on coding, boundaries, patient communication, burnout prevention, and building your own practice style.

Overview of CMS add-on code G2211 for longitudinal, complex care visits, with billing guidance, headache-specific examples, and tips for neurology practices.

Practical lessons from a first-year headache attending on coding, boundaries, patient communication, burnout prevention, and building your own practice style.

The update on CMS JW/JZ modifier use for drugs and biologics, including OnabotulinumtoxinA; guidance on compliance, documentation, and payer policies.

The 2021 E/M changes allow outpatient visit levels to be selected based on total time or medical decision making (MDM), reducing documentation burden and simplifying coding.

The 2021 CMS E/M updates introduce time or MDM-based billing, remove history and exam from code selection, and revise time guidelines for outpatient visits.

Time-based billing accounts for total face-to-face time, including counseling, education, and care coordination, helping providers capture time-intensive visits accurately.

Billing a procedure with a separate medical concern requires enough time and distinct ICD-10 codes. Use the procedure CPT code and an E/M code with a 25-modifier for the additional issue.