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Issue #202 - August 1, 2012


AAPC EdgeBlast

First "Doc Fix" Bill Out of the Gate

Faced with a proposed cut to Medicare fee-for-service rates—a whopping 27 percent come Jan. 1, per the 2013 Medicare Physician Fee Schedule (MPFS) proposed rule—physicians have been waiting for a sign indicating Congress will override the Sustainable Growth Rate (SGR) methodology that calls for the cut, as they have since 2003.

Getting the ball rolling earlier than in years past, Rep. Michael Burgess, MD, (R-TX), introduced the Assuring Medicare Stability and Access for Seniors Act of 2012 on July 18.

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Health Care's EHR Future is in the Clouds

Citing cost and speed benefits, cloud computing experts say health care will soon follow other industries in assimilating cloud-based computing to store and maintain patient records and claims, reports American Medical News. This could mean big changes for coding and billing practices.

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CMS Reviews Integrity Audits to Cut Provider Burden

The Centers for Medicare & Medicaid Services (CMS) is looking at Medicaid and Medicare program integrity audits to see how burdensome the audits are for providers. By year's end, using a two-phase approach, CMS is hoping to have recommendations to decrease burden, according to InsideHealthPolicy.com.

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CMS Provider Call: Let's Talk MPFS Payment Modifier

The Centers for Medicare & Medicaid Services (CMS) will hold a National Provider Call Aug. 1 from 2:30 p.m. to 4 p.m. ET to provide physicians, physician groups, practice managers, medical and specialty societies, payers, and insurers with an overview of its proposals for the physician value-based payment modifier.

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Physicians Considering EHR Technology, HHS Says

Those for and against electronic health records (EHRs) have engaged in a heated public relations battle lately, with government agencies bragging that physicians are embracing the technology at faster-than-expected rates, and detractors simultaneously arguing that physician acceptance of EHRs has been flat and driven primarily by hospital consolidation of physician practices rather than incentive programs.

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Medicare Overpayments/Underpayments More Costly in 4th Qtr

Providers and suppliers of health care services and supplies to Medicare Parts A and B beneficiaries will pay contractors more in interest for unrecouped overpayments and delinquent underpayments in the fourth quarter of 2012.

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5010 Remittance Starts Today

Today is the day remittance for 5010 begins. You will find improvements over the old 4010 system of remittance advice.

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Coding Tips

New Waived Tests Have Retroactive Effective Dates
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CMS Opens NCA for OPT NCD
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J1 MAC: Percutaneous Endovascular Cardiac Assist Covered
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Medical News

Physicians: Gear Up for More Pertussis
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Aarches CO-OP Receives $85 Million Federal Loan
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FDA Approves Drug to Reduce Risk of HIV Infection
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New AHRQ Handbook Promotes Interactive Preventive Health Records
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NCQA Awards "Distinction" for High-quality Primary Care
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Featured Items
First "Doc Fix" Bill
EHR Future is in Clouds
Integrity Audit Reviews
CMS Provider Call
Docs Considering EHRs
Medicare Payments
5010 Remittance
Coding Tips
Medical News
Coding Job Links


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