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Tuesday Mar 26, 2019

Few receive negative payment adjustment in first year of MIPS

The vast majority of clinicians who were eligible for and participated in the Merit-based Incentive Payment System in 2017 will avoid a negative payment adjustment to their Medicare claims during the 2019 payment year.

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Posted at 05:30PM Mar 26, 2019 by Kent Moore | Comments [0]

Friday Mar 08, 2019

Less than a month left to submit 2018 MIPS data

Physicians eligible for the Merit-based Incentive Payment System in 2018 have only a few more weeks to report your quality measures.

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Posted at 04:00PM Mar 08, 2019 by Kent Moore | Comments [0]

Friday Mar 01, 2019

CMS finds errors in MIPS payment adjustments

The Centers for Medicare & Medicaid Services says it is working to fix errors in how this year's MIPS payment adjustments were applied to some physicians.

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Posted at 12:45PM Mar 01, 2019 by Kent Moore | Comments [0]

Wednesday Feb 27, 2019

How to properly code for a Pap smear

Screening for cervical cancer is often included in the physical exam portion of a preventive medicine service. Follow this advice to see when you can bill separately for a Pap smear.

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Posted at 10:00AM Feb 27, 2019 by Betsy Nicoletti | Comments [0]

Monday Feb 25, 2019

The accurate valuation of office visits: one thing you can do

The relative value of office-based E/M codes is being reviewed. To help inform that review, family physicians can take this one critical step.

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Posted at 09:00AM Feb 25, 2019 by FPM Editors | Comments [0]

Friday Feb 22, 2019

New reports look at family medicine office visit billing

Here's what to do with that Medicare comparative billing report you may have received analyzing how you bill family medicine office visits.

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Posted at 11:00AM Feb 22, 2019 by Kent Moore | Comments [0]

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]

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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.