Tag Archive | "2018"

Don’t Miss a Single Cognitive Care Planning Code 99483 Requirement! Take Them One at a Time

Friday, March 23, 2018

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One of the most significant changes for family medicine in 2018 is the switch from HCPCS to CPT® for behavioral health integration (BHI) and care management. In this post, we’ll check out new cognitive assessment code 99483, which not only replaced G0505, but also added 160 words to the descriptor! Walk Through the New Code […]

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Turn Back Time With These 2018 MPFS Updates

Monday, March 5, 2018

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  Keeping up with 2018 updates to the Medicare Physician Fee Schedule (MPFS) is one thing. Knowing which ones are retroactive adds a whole other level to ensuring you’re applying the right information to your claims. Today we’re covering two groups of retroactive MPFS changes. Watch for Work GPCI Floor Increase If you’re in an […]

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Move Over Q1 MUEs … April 1 Changes Are Coming

Thursday, March 1, 2018

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  Hey, early birds. Have you checked out the Q2 updates to Medically Unlikely Edits (MUEs)? CMS provides spreadsheets showing quarterly updates so you can see the changes and start preparing ahead of time. Here are some highlights from the changes effective April 1, 2018, to existing practitioner MUE values, along with some tips on […]

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Look to .11 When Documentation Shows Substance Abuse ‘In Remission’

Friday, February 23, 2018

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Substance abuse disorder coding got more detailed options and clarifying notes in the 2018 version of ICD-10-CM. The good news is that now that we’re a few months in, you may have noticed that these changes helped bring your code choices more in line with current clinical practice. Here’s a refresher on how your code […]

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CMS Spring News: Check Out Special Enrollment Periods, QPP Resources, and Quarterly Updates

Monday, February 12, 2018

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How are you doing this February? I’m looking at some snow, myself. But these three news pieces from CMS show that spring is right around the corner. Don’t miss these deadlines on MIPS suggestions, special enrollment, and HCPCS Q2 implementation. 1. By March 1: Make Your Voice Heard on MIPS If you’ve got suggestions for […]

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Here’s How New Hysterectomy Code 58575 Compares to Other Code Options

Wednesday, January 24, 2018

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We’re coming to the end of Cervical Health Awareness Month, in case you didn’t know. And in a roundabout way, that makes me think of the new 2018 hysterectomy code 58575 (Laparoscopy, surgical, total hysterectomy for resection of malignancy (tumor debulking), with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed). How does this new code […]

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CPT® 2018 Quiz: Can You Say Laparoscopic Esophagectomy Three Times Fast?

Friday, January 19, 2018

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Have you mastered which laparoscopic esophagectomy procedures match to the three new options in the CPT® 2018 code set? The descriptors for 43286-43288 are dense, packed with anatomic and surgical terms that sometimes hit the eight-syllable mark. So if you know which terms to look for in your documentation to help narrow down your code […]

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Avoid This $45 Mistake! Know the Difference Between US Codes 76881 and 76882

Thursday, January 4, 2018

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Many specialties provide joint ultrasounds, including radiology, podiatry, and orthopedics. And that means many specialty coders need to know about changes to the descriptors and guidelines for ultrasound (US) codes 76881 and 76882 in the CPT® 2018 code set. Use this quick primer to be sure you’re using these revised codes correctly for 2018 dates […]

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Yea or Nay? See Which QPP 2018 Proposals Came Through in the Final Rule

Thursday, December 14, 2017

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Back in July, TCI SuperCoder blog had a post about the proposed 2018 Quality Payment Program (QPP) rule, a program established under MACRA. Now that the final rule (with comment period) is out, let’s see how some of those proposals fared. Small Provider Exemption/Low-Volume Threshold Proposal: The proposed rule included adjusting the 2017 low-volume threshold […]

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Compare and Contrast 94620 and Its Replacement Codes for Pulmonary Testing

Friday, December 8, 2017

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Pulmonology coders are saying goodbye to a common pulmonary stress testing code on Jan. 1, 2018. Here’s what’s replacing it, along with some Medicare Physician Fee Schedule details to help you get a better handle on the new codes. Compare the Code Descriptors In 2017, you use 94620 (Pulmonary stress testing; simple (eg, 6-minute walk […]

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