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A new video and step-by-step guide developed by the American Medical Association walks physician practices through the steps they need to take, by Oct. 2, to meet the minimum reporting requirement for this first performance year of the Merit-based Inc...
AAPC National Advisory Board Member Angie Clements CPC, CPC-I, CEMC, CGSC, COSC, CCS, helped bring clarity to three medical coding modifiers that are most problematic to physician practices. The three challenging modifiers include -59, -25, and -24. ...
Telehealth company Teladoc purchased the giant physician consulting firm Best Doctors for $440 million, adding the company’s network of 50,000 specialists to its stable of 3,100 providers. Teladoc already provides 20 million members access to ...
A proposed rule for 2018 updates to the Quality Payment Program (QPP) holds few surprises, except for one: The Centers for Medicare & Medicaid Services (CMS) is proposing to increase the low-volume threshold to exempt more clinicians from the Mer...
Medicare beneficiaries will start receiving new member ID cards in the mail beginning April 2018. Healthcare providers and the billing companies they employ have until then to prepare their systems to accept the new format. What’s Behind the Change? ...
Telehealth is having such a great year being implemented the National Quality Forum (NQF)  issued a report outlining a measure framework with a list of measure concepts and standards for future measurement. With  Medicare Access and CHIP Reauthorizat...
The Medicare Payment Advisory Commission’s (MedPAC) June Report to the Congress addresses (among other things) issues it sees with the Merit-based Incentive Payment System (MIPS) — one of two paths in the Centers for Medicare & Medicaid Services’ ...
In the outpatient setting, do not code a diagnosis unless it is certain. Examples of language seen in the medical record that identify uncertain diagnoses include: Probable Suspected Questionable Rule out Differential Working When a definitive diagnos...
When billing for professional services, you should report 96372 Therapuetic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular for each medically appropriate injection provided, as instructed in CPT Assis...
To determine what to include in the History of Present Illness (HPI), keep these questions in mind. Location – Where is the pain? Where is the problem? Ex. back pain, nasal congestion Quality – Please describe your symptoms (Action words) Ex. sharp or...