Getting Paid

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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]

Monday Feb 26, 2018

How to decide whether your patient is new or established

If coding rules followed common sense, this would be easy. You would just have to ask: Have I seen the patient before? Unfortunately, that straightforward approach does not work.

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Posted at 12:00PM Feb 26, 2018 by Betsy Nicoletti | Comments [0]

Friday Feb 23, 2018

Performance scores for 2017 QPP claims data are now available

If you used claims to submit 2017 quality data for the Merit-based Incentive Payment System, you can now find out how you did.

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Posted at 05:45PM Feb 23, 2018 by Erin Solis | Comments [0]

Wednesday Feb 21, 2018

Earn MIPS credit for participating in CMS study

The Centers for Medicare & Medicaid Services is looking for physicians to participate in a study measuring the burdens of collecting and reporting care quality data. Participants can receive credit under the Merit-based Incentive Payment System.

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Posted at 10:45AM Feb 21, 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.