Jan 3rd, 2019
AAPC credentialed members are obligated to stay current in their profession. To ensure our members keep up with the latest medical coding updates, compliance rules, and government regulations, we require them to earn continuing education units (CEUs). For example, one certification, such as our Certified Professional Coder (CPC®) credential, requires the holder to earn 36 CEUs ...
Adhere to the Medicare requirements and bundling rules for SNF coverage payment. If you don’t work in a skilled nursing facility (SNF), you may not understand how SNF consolidated billing (CB) affects you. The way you answer the following two questions may help you to see the connection: Have you ever had a Medicare patient ...
In Billing
Dec 14th, 2018
Follow billing guidelines to ensure proper payment for this incentive payment model. The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of pre-diabetes. The clinical intervention consists of a minimum of 16 intensive “core” ...
In Coding
Dec 13th, 2018
Nearly every section in the code book has updates: The stakes are high that your coding is affected. CPT® 2019 includes 212 new Category I and III codes, 50 revised code descriptors, and 71 deleted codes — plus revised introductory guidelines, and new and revised parenthetical references. Nearly every section of the code book (except ...
Know what payers are looking for in subsequent hospital care claims, and how to give it to them. Medical necessity is the No. 1 consideration when selecting an evaluation and management (E/M) service code. Without medical necessity to support billed services, your practice is put at a serious noncompliance risk. Consider, for example, one payer’s ...