Medicare Compliance & Reimbursement - eNewsletter

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Medicare Compliance & Reimbursement Alert – an AAPC eNewsletter

The Centers for Medicare & Medicaid (CMS) is committed to reducing improper payments and has cut error rate numbers again this year. What does this mean for your physician practice? Expect ongoing scrutiny for CERT-identified errors.

But CMS isn’t your only concern. The OIG has expanded its work plan from the usual list of suspects to include telehealth services, kickbacks in the form of speaker fees, the Two-Midnight Rule, COVID fraud, and the Accelerated and Advance Payment (AAP) program.

Stay Informed, Liability-Free, and Safeguard Your Medicare Revenue

Work smarter with play-by-play guidance on CMS rollbacks and program revisions — as well as HIPAA, OIG reports, MAC and RAC activities, the QPP, and more — with your bi-monthly subscription to Medicare Compliance & Reimbursement Alert.

Our team of experts will keep you up to speed on regulatory changes and revisions to codes and guidelines, modifiers, the fee schedules, and more.

Every issue of this indispensable resource packs how-to guidance to help you eliminate rework and optimize your Medicare pay. 

5 Reasons to Subscribe to Medicare Compliance & Reimbursement Alert

  • At-a-Glance Tools: Access clip-and-save checklists and cheat sheets covering everything from POS coding and ICD-10 advice on hurricanes to the spectrum of HIPAA Security Rule and Privacy Rule components.
  • Online Convenience: Search thousands of Medicare Compliance & Reimbursement Alert articles to access strategic insights stored in our online archive dating back to 2003.
  • Timesaver: Stay on top of ever-changing regulations and industry developments without having to search the internet. The information your staff needs is delivered to you in Medicare Compliance & Reimbursement Alert.
  • Practical Explanations: Say goodbye to obscure legal rhetoric. Find guidance written in everyday language on all the issues impacting your organization.
  • Always In-the-Know: Keep your finger on the pulse of CMS’ proposals and final rules with 24 e-Newsletter issues in your annual subscription, each designed to ensure you’re prepared to comply with the latest regulatory rollout.

Newsletters are regular and timely publications written by subject matter experts with their fingers on the pulse of your industry.

In the case of coding newsletters, your subscription will give you all the latest information you need, plus a refresher on things you might have learned but forgotten.

Coding newsletters feature real reader questions, interviews, and guidance from experts. You’ll find clinical scenarios and expert advice to explain code choice and guide you through the code selection process. A specialty-specific newsletter promotes accurate coding, leading to higher revenues and less time and money wasted on justifying billing.

Non-coding healthcare newsletters provide up-to-the-minute news on changes in federal regulations governing reimbursement and legislative developments. You’ll find ways to navigate often dense government-speak and learn how to apply regulatory changes to your practice or agency.

The knowledge disseminated in each newsletter issue can help protect your practice or business from costly mistakes and even help boost your revenue with guidance on the best ways to:

  • Code challenging scenarios or use modifiers correctly
  • Stay on top of the latest news and regulatory changes pertaining to the healthcare market
  • Learn how to ethically optimize your reporting to avoid undercoding and missed opportunities

Healthcare Business Monthly is a broad-scope publication that provides information on a range of topics, including human-interest stories based on coders. It also covers healthcare issues beyond coding, compliance, or post-acute care — such as front-desk etiquette, keeping the office clean, etc.

Coding newsletters, more focused than Healthcare Business Monthly, exclusive cover coding, billing, and regulations for the title specialty.

Non-coding healthcare newsletters dig into the regulatory news pertaining to healthcare. These are up-to-the-minute publications. You won’t find such in-depth information for compliance, practice management, MDS, home health, or hospice in Healthcare Business Monthly.

AAPC coding newsletters will help new coders get up to speed on the job. The articles cover several in-specialty topics each month and delve into the specifics of coding procedures and services. A new coder could get information on a coding scenario in a newsletter before they encounter it in the workplace, which is a huge asset.

Coding newsletters provide more exposure to the news you need, and the quizzes offer an opportunity to apply your coding knowledge in a low-stakes situation. Newsletter articles and reader questions add to and reinforce coder training. You’ll find expert opinions and advice from trusted and experienced sources that can help you understand the nuances of the profession.

Throughout the year, all newsletters contain updates to codes and coding guidelines that are vital to new and veteran coders. From articles on code changes and quarterly National Correct Coding Initiative (NCCI) edits to discussions of ad-hoc guideline changes issued by CMS and other agencies, newsletters keep coders informed and current. Having a specialty-focused publication addressing and analyzing updates is an important tool for every coder.

For instance, NCCI edits are often applied behind the scenes to coding software, and coders may be staring at a denial without realizing why. Newsletter articles will update coders to the edits that affect their practices the most and translate them into practical advice. That way, even veteran coders will be aware.

Secondly, there is so much to remember in coding that everyone occasionally forgets how to report something. The newsletter provides a monthly refresher on coding topics that a veteran coder might not have seen in a while.

Finally, most AAPC coding newsletters provide coders with regular AAPC CEU opportunities that can help keep your credentials current.

CPT® is a registered trademark of the American Medical Association. All rights reserved.

Most coding newsletters are specific to a medical specialty, and coders working in those specialties should obviously subscribe to newsletters aligned with their professional interests.
 
Several newsletters feature subject matter that crosses specialty lines. E/M Coding Alert, ICD-10 Coding Alert, and Health Information Compliance, for example, all contain articles and reader questions applicable to most specialties, practices, and institutions.

You’ll also find newsletters dedicated to compliance, practice management, skilled nursing facility, home health, hospice, and Medicare Part B. These newsletters are beneficial to practice managers, billing/coding staff, Minimum Data Set nurses, clinicians, and administrators.

Category

eNewsletter Title

Frequency

Medical Coding

Anesthesia Coding Alert

Monthly

Cardiology Coding Alert

Monthly

E/M Coding Alert

Monthly

ED Coding Alert

Monthly

Gastroenterology Coding Alert

Monthly

General Surgery Coding Alert

Monthly

ICD-10 Coding Alert

Monthly

Neurology and Pain Management Coding Alert

Monthly

Neurosurgery Coding Alert

Monthly

Ob-gyn Coding Alert

Monthly

Oncology/Hematology Coding Alert

Monthly

Optometry/Ophthalmology Coding Alert

Monthly

Orthopedic Coding Alert

Monthly

Otolaryngology Coding Alert

Monthly

Path/Lab Coding Alert

Monthly

Pediatric Coding Alert

Monthly

Podiatry Coding and Billing Alert

Monthly

Primary Care Coding Alert

Monthly

Pulmonology Coding Alert

Monthly

Radiology Coding Alert

Monthly

Urology Coding Alert

Monthly

Compliance

Health Information Compliance Alert

Monthly

Medicare Compliance & Reimbursement

Biweekly

Part B Insider

Monthly

Practice Management Alert

Monthly

Post-Acute

Home Care Week

Weekly

Hospice Insider

Monthly

MDS Alert

Monthly

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If you are an existing Codify customer, use your existing credentials to login to your account. You will be able to view all purchased eNewsletters in your Codify account under ‘My Publications’.

If you are not an existing Codify customer, you will receive your login credentials when you purchase your eNewsletter subscription.

AAPC newsletters are all available in full-color electronic format. The “flipbook” format functions like an online magazine. You’ll be able to click on live links in articles to go directly to resource websites, and you can do keyword searches of the newsletter.

Articles in an eNewsletter can be downloaded to your computer and then printed.

Newsletters monthly issue date varies from month to month. Different newsletter may or may not be published on the same date of the month.

Fees paid for any subscription term are paid in advance and are not refundable in whole or in part. You may terminate your subscription at any time and continue using the services until the expiration of your pre-paid term.

How to Cancel: You may terminate your subscription by contacting AAPC via phone or email. To ensure that your credit card does not get charged, please make your cancelation request at least two business days prior to the end date of your subscription term.

You will not be able to log in to your account to view a newsletter once your subscription expires. If you decide to end your subscription but would like to refer to past articles, you should download the articles prior to the expiration of your subscription.

CMS plans to issue finalized guidance in October. As COVID cases trend ever upward, the feds try to reset the playing field with another vaccination mandate. Read on for details. Refresher: Last month, the Centers for Medicare & Medicaid Services (CMS) issued a staff vaccination requirement for more than 15,000 Medicare and Medicaid-participating nursing homes, citing statistics that showed higher staff [...]

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Tip: Don’t forget about NCCI edits. One of the benefits of being a Medicare provider is that you are allowed to appeal claims decisions you disagree with. However, if you lose more appeals than you win, you may be missing some key steps. Brush up on some of the basics to bolster your success rate. That was the word from [...]

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Understand how MPFS 2022 proposals may impact future enrollment. If you’ve been enjoying the Medicare provider enrollment reprieve due to COVID-19 public health emergency (PHE) flexibilities, we’ve got some bad news for you. The feds plan on reinstating some enrollment and revalidation activities next month. Update: The Centers for Medicare & Medicaid Services (CMS) “will resume some provider enrollment activities [...]

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Question: The family practice I work for is the only medical office in our small town. We always use a sign-in sheet because we do get fairly busy and try to keep our visits in order. Recently, we heard that it’s not a good idea to utilize a sign-in system because of HIPAA privacy. Is it OK to still use [...]

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The Department of Health and Human Services (HHS) understands the struggles providers are dealing with right now and aims to alleviate some pressure with a new update. “In light of the challenges providers across the country are facing due to recent natural disasters and the Delta variant, HHS is announcing … a final 60-day grace period to help providers come [...]

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The Centers for Medicare & Medicaid Services (CMS) recently issued new hospice attending billing instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). Reminder: Back in December 2020, a clause in the COVID relief package allowed that for services “furnished on or after January 1, 2022, by an attending physician … other than a physician or practitioner [...]

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