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Medical groups and health systems that are members of the American Medical Group Association (AMGA) estimate that 60 percent of their Medicare revenues will be risk-based in 2019, pointing to a greater need for risk-assessment coders. Fierce Healthcar...
NewYork-Presbyterian and Walgreens are placing self-serve kiosks in Duane Reed drugstores in New York and through Walgreens’ website, Healthcare DIVE reports. The  kiosks are private, secure rooms with medical devices such as thermometers, blood...
In case you were unaware of proper billing of services for Medicare patients in a covered Part A inpatient stay, here is a refresher. Medicare will not pay acute-care hospitals for outpatient services provided to patients in a covered Part A inpatient...
The “Administrative Simplification: Certification of Compliance for Health Plans” proposed rule has been withdrawn. Although health plans still must comply with HIPAA electronic transaction regulations, they do not have to certify their compliance or ...
It’s essential for applicable providers to know how the definition of an attribution-eligible Medicare beneficiary for the Advanced Alternate Payment Model (APM) track of the Comprehensive Care for Joint Replacement (CJR) Model for the purposes of mak...
Effective Jan. 1, 2018, modifier GT Via interactive audio and video telecommunications systems is no longer required on professional claims for telehealth services. Place of Service (POS) code 02 certifies that the telehealth service meets Medicare&#...
Angiography code 75658 Angiography, brachial, retrograde, radiological supervision and interpretation is deleted for 2018. Going forward, the service is to be reported using an existing upper extremity angiography code (e.g., 73225 Magnetic resonance ...
The distinction between new patient and established patient is vital for correct evaluation and management (E/M) code assignment, coding compliance, and reimbursement. CPT® defines an established patient as one who “has received a professional servic...
Before your healthcare organization hires on new staff, check the List of Excluded Individuals and Entities (LEIE). It’s also a good idea to verify your current employees, as well. Not checking it could put you at risk for civil monetary penalties (...
Be a problem-solver by taking your member experience into your own hands. Since I first started working in customer service at AAPC in 2008, our processes, products, and (some) people have changed, but the answers to members’ most common questions rem...