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Tuesday Nov 13, 2018

Final rule on the 2019 Medicare Physician Fee Schedule delays major changes to E/M documentation

The Centers for Medicare and Medicaid Services finalized its much anticipated Final Rule for the 2019 Physician Fee Schedule, which includes simplifications to E/M coding and documentation but delays other major changes.


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Posted at 11:30AM Nov 13, 2018 by FPM Editors | Comments [0]

Friday Nov 09, 2018

More is not always better for diagnosis coding

Some physicians question whether they should report diagnoses beyond those addressed at a patient visit to ensure the best possible HCC score (and thus the best possible risk adjustment).


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Posted at 04:00PM Nov 09, 2018 by Kent Moore | Comments [0]

Friday Nov 09, 2018

Seventh wave of new Medicare cards hits the mail

CMS has begun mailing new Medicare ID cards to recipients living in the Wave 7 states and territories of Kentucky, Louisiana, Michigan, Mississippi, Missouri, Ohio, Puerto Rico, Tennessee, and the Virgin Islands.


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Posted at 11:30AM Nov 09, 2018 by Kent Moore | Comments [0]

Friday Nov 02, 2018

CMS releases final rule on 2019 Medicare physician fee schedule

On Nov. 1, the Centers for Medicare & Medicaid Services released the final rule of the 2019 Medicare physician fee schedule. Here are the highlights.


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Posted at 02:00PM Nov 02, 2018 by Kent Moore | Comments [0]

Friday Nov 02, 2018

Save time, start preparing for 2018 MIPS reporting

The 2018 Merit-based Incentive Payment System (MIPS) reporting period is approaching fast. Here's how to be ready to submit your information when it comes.


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Posted at 10:15AM Nov 02, 2018 by Erin Solis | Comments [0]

Wednesday Oct 31, 2018

How to code a screening test vs. a monitoring test (and why it matters)

At annual exams, patients often expect that any tests ordered will be considered preventive and covered 100 percent by their insurer. To avoid confusion, make sure you follow this ICD-10 rule.


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Posted at 05:00PM Oct 31, 2018 by Betsy Nicoletti | Comments [0]

Friday Oct 26, 2018

CMS offers help for identifying 2019 MIPS payment adjustments

These codes will help physicians understand which Medicare payments in 2019 are affected by their MIPS scores.


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Posted at 05:00PM Oct 26, 2018 by Kent Moore | Comments [0]

Friday Oct 19, 2018

CMS looks for feedback on new MIPS cost measures

CMS is testing several new cost measures that could later be added to the cost category of the Merit-based Incentive Payment System and is looking for help.


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Posted at 10:15AM Oct 19, 2018 by Erin Solis | Comments [0]

Monday Oct 15, 2018

Time to form virtual groups for the MIPS 2019 performance year

The election period is now open for solo physicians and small groups looking to form virtual groups to better comply with the 2019 Merit-based Incentive Payment System.


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Posted at 04:00PM Oct 15, 2018 by Kent Moore | Comments [0]

Friday Oct 05, 2018

New MBI to appear on remittance advices

As part of the ongoing switch to the new Medicare Beneficiary Identifier, the Centers for Medicare & Medicaid Services is including the new MBI number on all Medicare remittances.


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Posted at 02:30PM Oct 05, 2018 by Kent Moore | Comments [0]

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The views expressed here do not necessarily reflect the opinions of FPM or the AAFP. Some payers may not agree with the advice given. This is not a substitute for current CPT and ICD-9 manuals and payer policies. All comments are moderated and will be removed if they violate our Terms of Use.

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