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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 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]

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]

Monday Oct 01, 2018

Next wave of new Medicare cards rolls out

The Centers for Medicare & Medicaid Services has started mailing new Medicare cards to beneficiaries who live in “Wave 6” states: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah, Washington and Wyoming.

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Posted at 10:30AM Oct 01, 2018 by Kent Moore | Comments [0]

Friday Sep 28, 2018

Use of hurricane-related ICD-10 codes is changing

The external cause codes for hurricane-related encounters have existed since ICD-10 was adopted. The important change, beginning Oct. 1, is that the National Center for Health Statistics provided clear definition on how to apply the codes correctly.

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Posted at 02:45PM Sep 28, 2018 by Barbara Hays | Comments [0]

Monday Sep 24, 2018

New resources to ease ordering and prescribing DME under Medicare

The DME Medicare administrative contractors are trying to help physicians and recently created some online resources to ease the ordering or prescribing of durable medical equipment for Medicare patients.

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Posted at 01:15PM Sep 24, 2018 by Kent Moore | Comments [0]

Friday Jun 15, 2018

UnitedHealthcare to expand payment for after-hours primary care

UnitedHealthcare says it will begin on Aug. 18 paying for CPT code 99051, which recognizes the value of primary care practices improving convenience to patients by being open additional hours.

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Posted at 09:00AM Jun 15, 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.