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Friday Aug 17, 2018

Proper diagnosis coding for malignant neoplasms

When selecting diagnosis codes for suspected, current, and personal history of malignant neoplasms, you need to follow specific rules for ICD-10.

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Posted at 01:30PM Aug 17, 2018 by Betsy Nicoletti | Comments [0]

Friday Jul 13, 2018

Evaluation and management (E/M) coding and documentation burden could lighten in 2019 under CMS proposed rule

The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.

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Posted at 12:15PM Jul 13, 2018 by FPM Editors | Comments [0]

Friday Jul 13, 2018

CMS proposes simpler Medicare documentation guidelines in 2019 fee schedule

The Centers for Medicare & Medicaid Services is looking to use its annual update of the Medicare physician fee schedule to address long-simmering complaints with how the program requires physicians and other clinicians to document evaluation and management visits.

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Posted at 11:00AM Jul 13, 2018 by Kent Moore | Comments [0]

Friday Jul 06, 2018

QPP feedback reports now available

The Centers for Medicare & Medicaid Services has released feedback reports telling eligible physicians and practice groups how they did during the first full year of complying with the Quality Payment Program.

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Posted at 09:00AM Jul 06, 2018 by Erin Solis | Comments [0]

Friday Jun 29, 2018

QPP websites updated to streamline eligibility checks, review measures

The Centers for Medicare & Medicaid Services has updated its Quality Payment Program participation tool and QPP website to make it easier to check eligibility and review quality measure data.

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Posted at 02:00PM Jun 29, 2018 by Erin Solis | 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]

Friday Jun 08, 2018

Use this database to answer questions about Medicare noncoverage

CMS offers the searchable Medicare Coverage Database to help physicians know when Medicare doesn't not cover a specific service, requiring an Advance Beneficiary Notice of Noncoverage.

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Posted at 09:00AM Jun 08, 2018 by Kent Moore | Comments [0]

Friday Jun 01, 2018

A one-stop shop for Medicare documentation requirements?

CMS plans to list all the documentation that’s required for Medicare payment in one central location – the new Provider Documentation Manual.

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Posted at 12:15PM Jun 01, 2018 by Kent Moore | Comments [0]

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]

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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.