Category: Guidelines

OIG Uncovers Medicare Overpayments for Chronic Care Management Services

November 14, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

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 Part D Prescription Drug Model to Change in 2020CMS Goes After Medicare Advantage OverpaymentsAMA on Evaluation and Management GuidelinesCMS Proposes Add-on Codes for E/M Services2021 Physician Fee Schedule Final Rule – Prolonged ServicesRequirements for Reporting Allergy Services Are…

CMS Proposes Payment Changes to Endoscopic Sinus Codes

August 12, 2019December 4, 2020Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule includes the following excerpt: We are proposing to apply the special rule for m… For more, read here: AAPC Blog Related Posts:Auditing Postoperative Sinus DebridementsCMS Proposes a Single E/M Payment, Streamlined Doc…No Changes to E/M Payment Until at Least 2021CMS Proposes Add-on Codes for E/M ServicesSpecial Rules Apply to Endoscopic Sinus Surgeries