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Friday Jun 22, 2018

Looking ahead to this year's new diagnosis codes

Summer officially started this week, but it’s not too early to start preparing for the annual round of ICD-10 diagnosis coding changes effective for dates of service on or after Oct. 1.


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Posted at 09:00AM Jun 22, 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]

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]

Thursday Apr 19, 2018

How to know when to bill for both preventive and added services

When a patient brings an additional complaint to a preventive visit, how do you know whether it qualifies as a separate service and how should you code and bill for it?


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Posted at 08:00AM Apr 19, 2018 by David Twiddy | Comments [0]

Wednesday Apr 04, 2018

More Medicare money potentially headed to you

The Bipartisan Budget Act of 2018 is requiring Medicare administrative contractors to reprocess practice claims, which could mean some physicians will see a boost in reimbursement.


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Posted at 12:30PM Apr 04, 2018 by Kent Moore | Comments [0]

Wednesday Feb 28, 2018

Anthem rescinds modifier 25 cuts

Last week, Anthem, one of the nation's largest commercial health plans, notified the American Medical Association it has decided to not proceed with a policy to reduce payments by 25 percent for evaluation and management codes appropriately reported with CPT modifier 25.


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Posted at 02:45PM Feb 28, 2018 by Kent Moore | Comments [0]

Wednesday Feb 07, 2018

Time to educate your patients about new Medicare cards

CMS has published free resources to help notify your patients that the new Medicare beneficiary cards are coming.


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Posted at 02:30PM Feb 07, 2018 by Barbara Hays | Comments [0]

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DISCLAIMER

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.

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