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Issue #135 - October 21, 2009
AAPC EdgeBlast

First Look: Changes to CPT® 2010 Go Beyond Codes
The CPT® 2010 code book includes some changes that will take many coders by surprise.

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AAPC Releases ICD-10 Code Conversion Tool, Now Available to the General Public
The AAPC (AAPC) has released its ICD-10-CM online code conversion tool, which is now available online at www.aapc.com/icd-10/codes. This valuable tool allows users to convert (or “map”) ICD-9-CM codes to ICD-10-CM codes (and vice versa) based on the General Equivalency Mapping (GEM) files published by the Centers for Medicare and Medicaid Services (CMS).

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CMS Evaluates RUC Process
If, in fact, Medicare rates for physician services are inaccurate, how might the system be improved? The Medicare Payment Advisory Commission (MedPAC) met earlier this month to answer that very question. In November, the Centers for Medicare & Medicaid Services (CMS) will look at how relative values units (RVUs) are determined during a key process known as the five-year review, which will include a public comment period.

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Nearly 1M Doctors Affected by BCBS Data Breach
A laptop computer that held a file containing information on every physician in the country contracted with a BlueCross BlueShield-affiliated insurance plan was stolen out of a BCBS employee’s car Aug. 27, creating a possible data breach concern.

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Expect Further Part B Claims Editing Process Scrutiny
Physicians, non-physician practioners (NPPs), and other Part B providers and suppliers submitting claims to carriers or Part B Medicare Administrative Contractors (B/MACs) for ordered or referred items or services can expect further scrutiny during the claims editing process.

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2010 IPPS Final Rule Corrections
The Centers for Medicare & Medicaid Services (CMS) issued, Oct. 7, a correction document to the 2010 Inpatient Prospective Payment System (IPPS) for acute care hospitals and Long Term Care Hospital Prospective Payment System (LTCH PPS) final rule. Make hospital billing staff aware of these corrections, which include changes to important compliance dates and payment rates.

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Revalidation Effort Focuses on X-ray Suppliers
Carriers and Part A and Part B Medicare Administrative Contractors (A/B MACs) are creating lists and checking them twice, but they’re not looking for who’s been naughty or nice. On these lists are X-ray suppliers currently billing Medicare who are not in the Provider Enrollment, Chain, and Ownership System (PECOS).

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FDG PET Rules Finalized, Effective April ‘09
Long-discussed reconsideration of F-18 fluoro-D-glucose (FDG) positron emission tomography (PET) scanning of solid tumors and myelomas has been completed by the Centers for the Medicare & Medicaid Services (CMS). The changes, to be implemented Oct. 30 and retroactively effective to April 3, are extensive

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Coding Tips
POS Codes: Do You Know Where Your Doctor Is?
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New Codes, Rules Add Specificity to Flu Reporting
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TrailBlazer Revises Drugs & Biologicals LCDs
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TrailBlazer: Self-administered B-12 Injection Non-covered
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Multi-passenger Ambulance Transports Require GM and 32
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AAD: Avoid Duplicate Claim Submissions
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Take the Sting Out of Injection Coding
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Medical News

AAPC, Coding Discussed on “This American Life” Radio Show
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American Medical News: “How to code, bill for H1N1 flu vaccine”
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FDA Public Health Alert: Tamiflu Dosing Errors
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H1N1 Vaccine Clinical Trial Conducted on Asthmatics
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Do You Have an EMR Story?
Do any of you have a story to tell about the purchase of an EMR system for your practice? How long did it take to install? How much did it cost? Was it easy to use? Has it accomplished what you wanted? Are your physicians seeing the same, more or less patients per day since? Do the physicians like it? We’d love to hear from you! Please send your stories directly to reed.e.pew@aapc.com

Test Yourself Online
The Test Yourself questions can be accessed online at www.aapc.com/testyourself/. Once you go there and take the test, you can automatically grade your answers, correct any mistakes, and have your CEUs automatically added to your CEU Tracker for submission.

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Featured Items
Surprising CPT® Changes
I-9 to I-10 Conversion
CMS & RUC Process
BCBS Data Breach
Part B Scrutiny
Revalidation on X-ray
2010 IPPS Final Rule
FDG PET Rules
Coding Tips
Medical News
Test Yourself Online
Coding Job Links

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CPT® codes Copyright 2008 American Medical Association. All Rights Reserved. CPT® is a trademark of the AMA. No fee schedules, basic units, relative values or related listings are included in CPT®. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.