Prevent Medicare Claims Denials in 2020

Medicare has been issuing beneficiaries new member cards with Medicare Beneficiary Identifiers (MBI) in place of Social Security Numbers (SSNs) for more than two years. 2019 was a phase-in period when Medicare would accept either a beneficiary’s Socia… For more, read here: AAPC Blog Related Posts:New Medicare Cards Initiate Phishing ScamNew Patient E/M Denials: Mystery SolvedMedicare Telehealth Coding as of April 30Check Your FESS Claims for Improper Payment Adjustments

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OIG to Audit Risk Adjustment Coding

Consistent with previous reporting, the Office of Inspector General (OIG) has added to its 2020 Work Plan a targeted audit of Medicare Advantage (MA) programs for risk adjustment diagnosis codes. This is not the first time federal agency has targeted … For more, read here: AAPC Blog Related Posts:Coding Uncertain Lesion Excisions With CertaintyMedicare Telehealth Coding as of April 30

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OIG Uncovers Medicare Overpayments for Chronic Care Management Services

Chronic care management (CCM) services are services that do not involve face-to-face patient/provider contact. The Centers for Medicare & Medicaid Services (CMS) implemented Medicare coverage for CCM in Jan. 1, 2015. There are very specific guid… For more, read here: AAPC Blog Related Posts:Medicare Telehealth Coding as of April 302021 Physician Fee Schedule Final Rule – Prolonged ServicesIs Direct Primary Care the Answer?Interview on Podcast – Life as a Coder ~ Breaking down the…New Medicare Cards Initiate Phishing ScamPrevent Medicare Claims Denials in 2020

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MDM – New Problem to Examiner or Patient?

When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new… For more, read here: AAPC Blog Related Posts:New Patient E/M Denials: Mystery Solved

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