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
Continue ReadingNo Changes to E/M Payment Until at Least 2021
The 2019 Physician Fee Schedule and Quality Payment Program final rule has come out. The Centers for Medicare & Medicaid Services (CMS) announced they are not going to make changes to payment for E/M until at least 2021. CMS Administrator Seema V… For more, read here: AAPC Blog
Continue ReadingICD-11 Includes New Sections, Benefits
As we all just implemented ICD-10 changes for 2019, ICD-11 is being worked on. Don’t worry, it is not going to be implemented next year, but it is being planned for some time after 2022, which is actually not very far away. We will have just gotten us… For more, read here: AAPC Blog
Continue ReadingTelemedicine Offers Benefits to Providers
Deloitte did a 2018 survey of U.S. healthcare consumers and physicians, and found: 90 percent of physicians see the benefits of telemedicine technology but only 14 percent have the ability to perform video telemedicine visit capabilities right now. Of… For more, read here: AAPC Blog
Continue ReadingTelehealth in Your Practice
Direct to Consumer/Patient When thinking about implementing telehealth in your practice, determine which platform will work best for your providers and patients. The market has consolidated into two major platforms, American Well and Teledoc… For more, read here: AAPC Blog
Continue ReadingAnalysis: AMA Responds to E/M Proposal
The AMA sent a letter to the Administrator of CMS on August 27, 2018 with signatures from most of the medical societies and state medical societies with comments on the CMS proposal for the “Patients Over Paperwork” initiative. AMA Loves Paperwork Red… For more, read here: AAPC Blog
Continue ReadingHow to Document E/M with Counseling and Coordinating Care
The only case when time may be used as the overriding factor in determining an evaluation and management (E/M) level is when counseling and/or coordinating care dominates the encounter, which means that the time expended on counseling and/or coordinat… For more, read here: AAPC Blog
Continue ReadingE/M Documentation by Med Students Rules Clarified
The Centers for Medicare & Medicaid Services (CMS) issued a MLN Matters article ( MM10412 Revised) on May 31 with a retroactive effective date of January 1, 2018 clarifying documentation requirements when performed by Medical Students in a teac… For more, read here: AAPC Blog
Continue ReadingOIG: Many Outpatient PT Claims Fail to Comply
The Office of Inspector General (OIG) did a study of physical therapy claims and documentation for Medicare patients and issued a report this month in March. Their findings are of great concern for the PT and rehabilitation specialty. The OIG reviewed… For more, read here: AAPC Blog
Continue ReadingCase Studies: Modifier 59 and X[ESPU] Use
When I last wrote “Modifier 59 – To Use or Not to Use”, I promised to follow it up with some real-life examples of when we should be using the 59 or the new Medicare X[ESPU] modifiers. Let’s look at some clinical examples and first determine if the … For more, read here: AAPC Blog
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