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Barbara’s News

98point6 Wants to be Amazon Prime of Primary Care

February 12, 2019March 13, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

A Seattle company looks to make primary care as easy as buying something off of Amazon.com. 98point6 is a Seattle start-up brain child of Rob Schwietzer who scaled Amazon Prime from thousands to millions and CEO Robbie Cape from Microsoft. 98point6 … For more, read here: AAPC Blog

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Court Upholds Ruling in UnitedHealthcare Out-of-Network Case

February 1, 2019March 13, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Eight Circuit Court of Appeals upheld a lower court’s ruling regarding out-of-network payments by UnitedHealthcare (UHC). How Ruling Got Started UHC has a policy of offsetting payments for patients in a different plan when they are trying to… For more, read here: AAPC Blog

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Medicare Part D Prescription Drug Model to Change in 2020

January 25, 2019January 31, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

There are big changes on the horizon for the Medicare Part D prescription drug model, and they’re going to affect medical coders. The current reimbursement system and payment model for Part D creates incentives for plans to push patients to the … For more, read here: AAPC Blog

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3 Issues in 2019 Virtual Care

January 23, 2019January 31, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Mandy Roth of Healthcare Leaders asked readers what they expected in the immediate future (2019) in virtual care, and if any trends can be predicted. As a result, three key issues stood out: Growth in virtual care will be spurred on by changes in reim… For more, read here: AAPC Blog

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Cybersecurity Guidance Issued by HHS

January 21, 2019January 31, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Department of Health and Human Services (HHS) have issued new guidance for healthcare organizations to manage cyberattacks. This is the end result of the 2015 Cybersecurity Act to align the healthcare security practices. Cybersecurity Guidance … For more, read here: AAPC Blog

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Technology Outlook in Health: 2019

January 14, 2019January 31, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

A lot of things are happening on the technology front in healthcare. These changes will impact medical coding and billing, compliance, and practice management. Health Technology – Amazon It starts with Amazon’s announcement that they are going to join… For more, read here: AAPC Blog

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Healthcare Job Growth Greatest in 2018

January 7, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Those starting out in medical coding, billing, and management may question their move at times as they find it difficult to find a job without a depth of experience. But you may wan… For more, read here: AAPC Blog

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Requirements for Reporting Allergy Services Are Nothing to Sneeze At

December 1, 2018January 7, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Make sure your practice is billing testing and immunotherapy preparation and provision correctly. Allergy services are on the radar of third-party payer investigation units because they have found that many practices code and bill these services wrong… For more, read here: AAPC Blog

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Final PFS Rule: Documentation

November 28, 2018January 7, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. … For more, read here: AAPC Blog

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CMS Resurrects Bundled Payments

November 16, 2018January 7, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

CMS has said they plan on rolling out mandatory Medicare bundled payment models for cancer, and they are going to reconsider voluntary cardiac care bundled models, even though they had decided that cardiac care bundled care would not work. Bundled Mo… For more, read here: AAPC Blog

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