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Revised instructions indicate payment status for new CPT codes. The Centers for Medicare 38 Medicaid Services CMS has issued changes to the October update of the 2020 Medicare Physician Fee Schedule D... [ Read More ]
The latest changes to the CPT code set will help clinicians distinguish seasonal infections from COVID19 in their reporting. Three new CPT codes have been created Oct. 6 that will allow clinicians to ... [ Read More ]
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals critical access hospi... [ Read More ]
When calculating an evaluation and management EM level or auditing an EM service every Medicare Administrative Contractor MAC has always had the points assigned for a new problem under the Number of D... [ Read More ]
This is actually a week later than its typically held so please make a note. The time will be at noon ET as usual. We will discuss timely topics and give updates on any changes. With this in mind we i... [ Read More ]
If provider orders a KUB and we have the facility to do the TC portion of the KUB and then we send out to have read by another source who intrepret the KUB. When patient comes in and we interpret doe... [ Read More ]
Has anyone run into the iStent inject (placement of 2 istents) and the medicaid insurance indicates the 0376T is not on the fee schedule, so not payable. The LCD for this indicates it is payable for o... [ Read More ]
Do you see this as 44125? Or 44120.52-44310?
PREOPERATIVE DIAGNOSIS: Perforated NEC, s/p resection and abdominal closure
POSTOPERATIVE DIAGNOSIS: Same
1. Exploratory laparot... [ Read More ]
I am looking for any tips to pass the CPPM exam. I scored a 56 my first attempt and a 67 my second attempt, my boss is paying for this and I really just need any advice from those that... [ Read More ]
A patient has been followed for OA and the decision for total knee replacement is made due to exacerbation of OA and pain limiting daily activities. For the visit when the decision for surgery is made... [ Read More ]
I wondered if another CRC might be able to help me with a question regarding Risk Adjustment encounter data for 2022....
Does anyone know if the rule to exclude IP claim data applies only to MA Risk o... [ Read More ]
On Amount and/or Complexity of Data: I can't find anything that will help me determine whether my provider "reviewed the results" of a test or did an independent interpretation of a test. Do... [ Read More ]