New Patient E/M Denials: Mystery Solved

New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening when another provider of a different specialty in t… For more, read here: AAPC Blog Related Posts:Prevent Medicare Claims Denials in 2020MDM – New Problem to Examiner or Patient?

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Multiple Endoscopy Rule Examples

In my last blog “Special Rules Apply to Endoscopic Sinus Surgeries,” I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus codes. How Does the Multiple Endoscopy Rule Affect … For more, read here: AAPC Blog Related Posts:2021 Physician Fee Schedule Final Rule – Prolonged Services

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Reporting Bilateral Services: Conflicting Information Causes Confusion

Payer-specific rules — especially rules that vary for every claim — not only make collecting revenue difficult, but also add to the cost of collection of monies earned by the physicians. A blog clarifies Novitas’ instructions for reporting modifier … For more, read here: AAPC Blog Related Posts:2021 Physician Fee Schedule Final Rule – Prolonged ServicesOIG Uncovers Medicare Overpayments for Chronic Care…

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98point6 Wants to be Amazon Prime of Primary Care

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 Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…Is Direct Primary Care the Answer?

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Medicare Part D Prescription Drug Model to Change in 2020

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 Related Posts:CMS Goes After Medicare Advantage OverpaymentsOIG Uncovers Medicare Overpayments for Chronic Care…Medicare Telehealth Coding as of April 30New Medicare Cards Initiate Phishing ScamPrevent Medicare Claims Denials in 2020

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