Getting Paid

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Friday May 18, 2018

Avoid mistakes when coding for preventive medicine services

Selecting the appropriate code will hopefully facilitate payment for preventive services and reduce some unpleasant questions from patients.

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Posted at 12:00PM May 18, 2018 by Betsy Nicoletti | Comments [0]

Friday May 04, 2018

Properly documenting time in E/M visits

Most evaluation and management services are selected based on the level of history, exam, and medical decision making documented in the note. But if counseling, coordination of care, or both dominate the visit, CPT instructs physicians to select a code based on time.

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Posted at 02:00PM May 04, 2018 by Betsy Nicoletti | Comments [0]

Thursday Apr 26, 2018

Medicare looks to contract directly with physicians and suppliers

The Centers for Medicare & Medicaid Services is investigating a new payment model that would directly contract with Medicare providers and suppliers.

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Posted at 05:15PM Apr 26, 2018 by Kent Moore | Comments [0]

Thursday Apr 19, 2018

How to know when to bill for both preventive and added services

When a patient brings an additional complaint to a preventive visit, how do you know whether it qualifies as a separate service and how should you code and bill for it?

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Posted at 08:00AM Apr 19, 2018 by David Twiddy | Comments [0]

Thursday Apr 12, 2018

Compensation is up for family physicians

Family physicians saw their annual compensation increase an average of 5 percent over last year, reflecting an industrywide rise in physician pay.

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Posted at 04:15PM Apr 12, 2018 by David Twiddy | Comments [0]

Wednesday Apr 11, 2018

Updated tool lets physicians lookup 2018 MIPS eligibility

The Centers for Medicare & Medicaid Services has updated its Merit-based Incentive Payment System Eligibility Lookup Tool to inform physicians if they must report for the program in 2018.

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Posted at 03:00PM Apr 11, 2018 by Erin Solis | Comments [0]

Wednesday Apr 04, 2018

More Medicare money potentially headed to you

The Bipartisan Budget Act of 2018 is requiring Medicare administrative contractors to reprocess practice claims, which could mean some physicians will see a boost in reimbursement.

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Posted at 12:30PM Apr 04, 2018 by Kent Moore | Comments [0]

Tuesday Mar 27, 2018

Deadline to submit data for 2017 MIPS approaches

If you have not already done so, you have until March 31 to provide 2017 data for the Merit-based Incentive Payment System (MIPS), which could affect your Medicare payments in 2019.

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Posted at 12:45PM Mar 27, 2018 by Kent Moore | Comments [0]

Tuesday Mar 20, 2018

Pre-diabetes program available to Medicare patients beginning April 1

Medicare is expanding its diabetes prevention program effective with dates of service on or after April 1.

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Posted at 04:45PM Mar 20, 2018 by Barbara Hays | Comments [0]

Wednesday Feb 28, 2018

Anthem rescinds modifier 25 cuts

Last week, Anthem, one of the nation's largest commercial health plans, notified the American Medical Association it has decided to not proceed with a policy to reduce payments by 25 percent for evaluation and management codes appropriately reported with CPT modifier 25.

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Posted at 02:45PM Feb 28, 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.