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Sufficient Documentation Essential for Ostomy Pay

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In CMS
Apr 26th, 2019
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Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018, according to the Centers for Medicare & Medicaid Services (CMS). No documentation and medical necessity also are reasons for ostomy supply pay problems. Tips to Avoid Pay Problems CMS recommends the following to providers’ medical coders: Medical records must contain ...
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E/M patient

Patient Driven Payment Model SNF Resources Available from CMS

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In Billing
Apr 26th, 2019
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The Patient Driven Pay Model (PDPM) will change the Skilled Nursing Facility (SNF) Prospective Payment System’s (PPS) method of classifying SNF patients in a Medicare-covered Part A stay Oct. 1.  The Centers for Medicare & Medicaid Services (CMS) provide a number of resources on their web site. Patient Driven Pay Model According to the Centers ...
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4th Quarter Payment to Local Chapters

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In Local Chapter Officers
Dec 3rd, 2018
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The 4th quarter payment to local chapters covers meetings held and exams hosted in the 4th quarter of the year, which are the months of October, November and December. Once the quarter is ended, AAPC will figure the amounts owed to the chapters, and then the payments will be deposited into chapter checking accounts around ...
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Physicians overpaid for CCM

No Changes to E/M Payment Until at Least 2021

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In CMS
Nov 1st, 2018
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The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced Nov. 1 they are not going to make changes to payment for evaluation and management (E/M)  services until at least 2021. CMS Administrator Seema Verma said in a press release, “We know ...
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Medicare changes payment

Changing the Way Medicare Pays Doctors

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In CMS
Aug 6th, 2018
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Besides taking a machete to E/M reimbursement and the way Medicare looks at E/M services, the current administration has proposed some large changes in the way Medicare pays doctors. They have also proposed ways that hospital facilities disclose prices to patients, providing more transparency. Changing Payment The pipeline for immediate changes includes the government paying more ...
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