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Virtual Health

3 Issues in 2019 Virtual Care

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In ICD-10
Jan 23rd, 2019
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Mandy Roth of Healthcare Leaders asked readers what they expected in the immediate future (2019) in virtual care, and if any trends can be predicted. As a result, three key issues stood out: Growth in virtual care will be spurred on by changes in reimbursement over the coming year. The changes in reimbursement started in ...
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ACOs must choose

CMS Outlines ACO Pathways to Success

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In CMS
Dec 28th, 2018
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Will the latest regulations governing accountable care organizations (ACO) deliver favorable results for all? The Pathways to Success final rule, released by the Centers for Medicare & Medicaid Services (CMS) on Dec. 21, 2018, offers several new participation options and flexibility to healthcare organizations in the Medicare Shared Savings Program (MSSP). Participation options are meant ...
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2018 OCR HIPAA fines

3 Reasons ACA is Still the Law of the Land

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In CMS
Dec 18th, 2018
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Even though U.S. Northern District of Texas Court Judge Reed O’Connor struck down the Affordable Care Act (ACA or Obamacare), there are three good reasons to neither panic nor change your medical practice’s policies or your medical coding. Judge O’Connor ruled the law as unconstitutional, agreeing with 20 state attorneys general that the Individual Mandate ...
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stroke telemedicine

New Rule, Modifier for Telehealth Stroke Services

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In Coding
Dec 11th, 2018
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Here’s a hot-off-the-press update from CMS for those who are involved with telehealth — and specifically, telehealth stroke services. CMS Releases New Instructions Just released, MLN Matters Number: MM11043 “Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth fo...
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HCPCS Modifiers

9 New HCPCS Modifiers to Use

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In CMS
Dec 10th, 2018
2 Comments
The 2019 HCPCS Level II code set includes an unusual nine new modifiers that help medical coders and billers accurately report services recently adopted or changed by Medicare. Some are already effective; others are effective January 1, 2019. Modifiers CO and CQ Modifiers CO and CQ identify therapy services provided by an occupational therapy assistant ...
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