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Thursday Feb 07, 2019

How to avoid payment denials on two common diagnostic tests

The Centers for Medicare & Medicaid Services is advising physician practices on how to avoid billing errors for two common diagnostic tests.

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Posted at 02:30PM Feb 07, 2019 by Kent Moore | Comments [0]

Monday Jan 28, 2019

UHC moves from denial to downcoding of E/M claims

Physicians and their coding staff need to be aware of a change in how United Healthcare approaches and pays claims with problematic documentation.

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Posted at 11:15AM Jan 28, 2019 by David Twiddy | 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]

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]

Wednesday Sep 19, 2018

Transitional care management: four common questions

The rules for coding and billing transitional care management (TCM) services can be confusing. Here are four common questions.

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Posted at 11:00PM Sep 19, 2018 by Betsy Nicoletti | Comments [0]

Monday Sep 17, 2018

CMS updates MIPS final scores, extends review deadline

The Centers for Medicaid & Medicare Services has released updated final scores for the 2017 Merit-based Incentive Payment System performance period.

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Posted at 04:45PM Sep 17, 2018 by Erin Solis | Comments [0]

Friday Aug 31, 2018

Still time to request review of your MIPS final score

If you believe Medicare has made an error in your 2019 MIPS payment adjustment calculation, you have only a few more weeks to request a targeted review.

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Posted at 02:00PM Aug 31, 2018 by Kent Moore | Comments [0]

Thursday Aug 30, 2018

Coding for wound care: Is your EHR leading you astray?

Remember these tips for properly coding three common types of wounds.

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Posted at 04:00PM Aug 30, 2018 by Betsy Nicoletti | Comments [0]

Thursday Aug 23, 2018

Medicare rolls out new cards to another group of states

The Centers for Medicare & Medicaid Services has started mailing new Medicare cards to beneficiaries who live in “Wave 5” states: Alabama, Florida, Georgia, North Carolina, and South Carolina. 

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Posted at 02:15PM Aug 23, 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.