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Issue #141 - January 20, 2010
AAPC EdgeBlast

Check Out New Prompt Pay Interest Rate
You’ll find the new Prompt Payment interest rate for the first half of 2010 posted on the U.S. Treasury Department’s website. The set rate is at its lowest since the second half of 2003.

Effective Jan. 1 through June 30, the late fee assessed by federal agencies (such as Medicare) that fail to reimburse vendor claims on time is 3.25 percent—down from 4.875 percent in the last half of 2009.

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RACs Post New Issues
HealthDataInsights (HDI) posted on their website 66 new approved issues for review in just the first week of 2010. These latest issues all pertain to Medicare Severity Diagnosis Related Group (MS-DRG) coding and DRG validation.

HDI’s list of new issues now includes approximately 70 percent of all MS-DRGs (530 out of 747), which represent both medical and surgical cases. Other new issues HDI, RAC for several Western states (Region D), has posted in the past month or so include those for:

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Home Care Advocates Question DMEPOS Access
The country is down approximately 15,600 durable medical equipment, prosthetics, and supplies (DMEPOS) providers since the new accreditation and surety bond requirements went into effect, HomeCare magazine reports. As a result, some providers have expressed their concern for patients getting the home health care supplies they need.

The Centers for Medicare & Medicaid Services (CMS) required DMEPOS providers to be accredited by Oct. 1, 2009 (pharmacies were given until Dec. 31, 2009) and to post a $50,000 surety bond per National Provider Identifier (NPI) number by Oct. 2, 2009 or forfeit their right to bill Medicare.

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Study Finds Gap Between EMR Expectations, Reality
A health care think tank says a gap exists between policymakers’ expectations that electronic medical records (EMR) can improve patient care and clinicians’ real-world experiences with EMRs. The study by the Center for Studying Health System Change was reported in HIT News.

According to the study, results of which have been published online in the The Journal of General Internal Medicine, clinicians have identified many areas where the design of EMRs could be altered and office care processes modified to improve EMR support for tasks involved in coordinating patient care.

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Reports of Mayo Not Accepting Medicare Greatly Exaggerated
Mayo Clinic’s decision to stop accepting Medicare patients at a Glendale, Ariz. facility was not well received, but the health care giant says a misunderstanding caused most of the backlash. “Some recent media reports have inaccurately stated that Mayo Clinic in Arizona is no longer seeing any Medicare patients. This is not true,” spokesperson Lee Aase writes in a Mayo Clinic Health Policy Blog, posted Jan. 5.

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Coding Tips
CLFS Update Requires Clarification
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Medicare Covers Kidney Disease Patient Ed
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Warfarin Response Testing Covered Under CED
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Forget Q2024, J9035 is Back
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CPT® 27096 Requires Fluoroscopic Guidance
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Submit MicroVas® Therapy Claims Correctly
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Reduction Mammaplasty Requires Multiple Dx
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Medical News

Health Net of Connecticut Sued for Security Breach
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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
Prompt Pay Rates
New RAC Issues
Home Care & DMEPOS
EMR Reality
Mayo & Medicare
Coding Tips
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Test Yourself Online
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