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Category: Documentation

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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No Changes to E/M Payment Until at Least 2021

November 2, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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ICD-11 Includes New Sections, Benefits

October 28, 2018November 2, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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Telemedicine Offers Benefits to Providers

October 22, 2018November 2, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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Telehealth in Your Practice

September 26, 2018September 28, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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Analysis: AMA Responds to E/M Proposal

September 6, 2018September 7, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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How to Document E/M with Counseling and Coordinating Care

July 2, 2018August 28, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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E/M Documentation by Med Students Rules Clarified

June 7, 2018August 28, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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OIG: Many Outpatient PT Claims Fail to Comply

April 5, 2018August 28, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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

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Case Studies: Modifier 59 and X[ESPU] Use

January 29, 2018August 28, 2018Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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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