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Tuesday Jun 15, 2021

Medicare adds bonus for some at-home COVID-19 vaccine administrations

Effective June 8, Medicare will pay an additional $35 per dose for administering the COVID-19 vaccine in the home for certain patients.


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Posted at 11:45PM Jun 15, 2021 by FPM Editors | Comments [0]

Thursday May 06, 2021

How to get paid if a patient’s health plan doesn’t cover the COVID-19 shot

While most health plans are required to cover the cost of administering the COVID-19 vaccine without cost-sharing, there are a few exceptions.


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Posted at 11:45PM May 06, 2021 by Erin Solis | Comments [0]

Monday Apr 19, 2021

Tips to streamline workflow and increase likelihood of coverage for CGM

Save time and ensure payment for continuous glucose monitoring with these tips.


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Posted at 11:45PM Apr 19, 2021 by FPM Editors | Comments [0]

Thursday Apr 01, 2021

Medicare claims may be delayed in April, as Congress mulls postponing cut

Medicare claims may be delayed as contractors hold them rather than process them with the 2% cut only to have to then reprocess them if the U.S. House of Representatives reverses the cut.


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Posted at 11:45PM Apr 01, 2021 by FPM Editors | Comments [0]

Thursday Mar 18, 2021

When and how to count data under the revised E/M office guidelines

When the new rules for evaluation and management office visits went into effect at the beginning of the year, they immediately caused confusion about how to count “data” to determine the level of medical decision making.


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Posted at 11:45PM Mar 18, 2021 by FPM Editors | Comments [0]

Wednesday Mar 17, 2021

CMS raises payment for COVID-19 vaccine administration

The increase, which the American Academy of Family Physicians and other groups advocated for, reflects the additional resources and work required to safely store and administer the vaccines.


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Posted at 11:45PM Mar 17, 2021 by Erin Solis | Comments [0]

Monday Mar 15, 2021

Clarifications issued for new E/M office visit rules

The revisions include more guidance about what counts toward the "data" portion of medical decision making.


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Posted at 11:45PM Mar 15, 2021 by Kent Moore | Comments [0]

Tuesday Mar 02, 2021

Responses to common concerns about the new E/M guidelines

As family physicians adjust to the new CPT guidelines for office/outpatient evaluation and management services, some common themes are beginning to emerge.


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Posted at 11:45PM Mar 02, 2021 by Kent Moore | Comments [0]

Thursday Feb 11, 2021

Three common reasons for level 5 E/M office visits in primary care

To quickly identify and correctly code most level 5 office visits, keep in mind these three common reasons for level 5 work.


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Posted at 11:45PM Feb 11, 2021 by FPM Editors | Comments [0]

Thursday Jan 21, 2021

Cigna institutes new reimbursement policy for virtual care

Cigna, one of the country’s largest private health insurers, has implemented a new virtual care reimbursement policy as of Jan. 1. The policy builds on billing and coding flexibilities spurred by COVID-19.


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Posted at 11:45PM Jan 21, 2021 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.

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