Getting Paid

A Blog From FPM Journal

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Friday Jan 18, 2019

More than half of Medicare claims use new ID cards

Physicians are showing early success using the new identification cards that the Centers for Medicare & Medicaid Services supplied to Medicare beneficiaries over the last year.

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Posted at 02:45PM Jan 18, 2019 by David Twiddy | Comments [0]

Friday Jan 04, 2019

Ring in the New Year by submitting your 2018 MIPS data

CMS has officially opened the data submission period for MIPS eligible clinicians who participated in Year 2 (2018) of the Quality Payment Program.

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Posted at 05:00PM Jan 04, 2019 by Kent Moore | Comments [0]

Wednesday Dec 19, 2018

New Medicare card lookup tool gets update

Even if your Medicare patients haven't yet received their new ID cards, you can lookup their beneficiary identifier online.

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Posted at 02:00PM Dec 19, 2018 by Kent Moore | Comments [0]

Friday Dec 07, 2018

How to check if you are MIPS-eligible in 2018

CMS has taken a second look at whether physicians are eligible for MIPS in 2018. Find out if you have to report – and if your 2020 payments are at risk.

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Posted at 04:45PM Dec 07, 2018 by Kent Moore | Comments [0]

Thursday Dec 06, 2018

How to properly code for a pre-op examination

Family physicians are often asked to preform pre-surgical evaluations for patients undergoing procedures. This requires selecting the correct codes.

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Posted at 12:30PM Dec 06, 2018 by Betsy Nicoletti | Comments [0]

Friday Nov 30, 2018

Helping compare Medicare costs and copayments gets easier

The Centers for Medicare & Medicaid Services has launched a new online tool that allows consumers to compare Medicare payments and copayments for certain procedures that are performed in both hospital outpatient departments and ambulatory surgical centers.

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Posted at 09:00AM Nov 30, 2018 by Kent Moore | Comments [0]

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]

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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.