Tag Archive | "medicare physician fee schedule"

Ups and Downs, MACRA Modifiers, and E/M DGs in MPFS 2018 Proposed Rule

Tuesday, July 25, 2017

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Part 3 of our proposed rule extravaganza is about the Medicare Physician Fee Schedule (MPFS) 2018 proposed rule. (Part 1 was QPP and Part 2 was OPPS). Let’s get down to business, checking out some highlights explained in recent issues of Medicare Compliance and Reimbursement. Plusses and Minuses The proposed 2018 conversion factor is 35.99, […]

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Quick Q&A to Take Multiple Scope Know-How Up a Notch

Friday, December 30, 2016

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Happy New Year! We’ve made it to the last SuperCoder blog post for 2016, and what a year it’s been. Sometimes after a whirlwind of chaos, it’s good to get back to the fundamentals. With that in mind, today we’re looking at some simple tips for the next time you’re dealing with the multiple scope […]

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Clean Up Your Cardiovascular Stress Test Coding With MPFS Insights

Tuesday, December 20, 2016

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Depending on your sense of humor, focusing on the topic of stress tests during the last two crazy weeks of the year might just make you smile. Or groan. Either way, if you code cardiovascular stress tests, you may find some useful hints in today’s post. Start With Stress Test Codes 93015-93018 Codes 93015-93018 are […]

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5 Fast Facts From the 2017 MPFS Final Rule

Friday, December 9, 2016

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Digesting the hundreds of pages in the MPFS 2017 Final Rule is best done in small bites. Here are five tidbits to get you started. 1. The Conversion Factor Goes Up a Little The 2017 conversion factor is just a bit bigger than the 2016 conversion factor: 2016: 35.8043 2017: 35.8887. Read about it: You’ll […]

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Myth Buster: Get Ahead of MPFS 2017 Inspection of 0-Day Global Codes With Mod 25

Tuesday, August 23, 2016

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A previous post about the 2017 physician fee schedule mentioned that the proposed rule lists 83 services with 0-day globals to review because of the large number of same-day E/Ms being reported with those codes. If that news got your codey-sense tingling, defeat your audit fears by busting these troublemaking myths. But first: Speaking of […]

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How Will Changes to the Physician Fee Schedule Affect Your Practice?

Friday, June 10, 2016

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Did you remember to check the Medicare Physician Fee Schedule Database (MPFSDB) for July? CMS implements the changes on July 5, 2016, but some of the changes will be effective back to Jan. 1, 2016. Check Out Key Changes in July Update CMS requires Medicare Administrative Contractors (MACs) to amend payment files to conform with […]

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Getting Paid for Your Non-Physician Practitioner’s Services With Incident-To Billing

Friday, April 29, 2016

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As the number of physicians shrinks and the demand for healthcare expands, practices seek solutions to their patient care needs — and many have found it by hiring non-physician practitioners, or NPPs. Physician assistants (PAs) and nurse practitioners (NPs) fill the gaps caused by physician shortages in primary care. In fact, a recent Brandeis University […]

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