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Find Flu Vaccine Codes Fast for Cleaner Medicare Claims

17. October 2019

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In early October 2019, flu activity was low, according to the Centers for Disease Control and Prevention (CDC). But hopefully vaccinations will land in the “widespread” category for this flu season. A high volume of services means a high volume of coding, though, so protect your Medicare reimbursement with this guidance on flu vaccination coding. […]

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6 Tips to Ace CPT® 2020’s New Long-Term EEG Codes

7. October 2019

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  CPT® 2020 is overhauling long-term electroencephalography (EEG) coding, as Part 3 of our CPT® update series reported. Read on for more helpful hints to prepare you for the new EEG codes and guidelines, effective Jan. 1, 2020. Tip 1: Replace Resources Featuring These 9595x Codes The 2020 CPT® code set will delete EEG monitoring […]

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Your Guide to CCI Trends for the End of the Year

30. September 2019

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On Oct. 1, 2019, there will be 118 new National Correct Coding Initiative (NCCI or CCI) edits for physicians reporting to Medicare. Keep your coding up to date and in compliance with the edits with this quick overview featuring path/lab, allografts, venous procedures, and radiation oncology. Keep in mind: The edits we’re talking about here […]

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Get Pro/Tech Component Refresher From October MPFS Update

23. September 2019

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When you think of professional component and technical component, Medicare’s division of a single code may spring to mind. But the October 2019 update to the Medicare Physician Fee Schedule (MPFS) has a dermatology example that shows there’s more than one way to think about PC/TC. Here are the details. RVUs for PC + TC […]

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Part 3: Master Medicine Code Updates for CPT® 2020

16. September 2019

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A lot of specialties will find relevant updates in the Medicine section of CPT® 2020, and we’ve pulled together the can’t-miss news for you here. Tip: If you report EEG, you will certainly want to read on. Don’t forget: You’ll find the E/M and Surgery section updates in Part 1 and the Radiology and Path/Lab […]

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Part 2: Know What’s New in CPT® 2020 for Radiology and Path/Lab

12. September 2019

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You’ve gotten a glimpse at the new E/M and Surgery codes in Part 1 of our CPT® 2020 series. Now let’s dive in to the updates for the Radiology section and the Pathology and Laboratory section. Focus on 4 Areas for Radiology Updates Abdomen X-rays, GI imaging, myocardial imaging, and radiopharmaceutical tumor localization are the […]

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Part 1: Prepare for CPT® 2020 for E/M and Surgery Codes

9. September 2019

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The 2020 CPT® code set includes 394 code changes, with 248 new codes, 71 deletions, and 75 revisions, according to the AMA. Let’s start learning those changes by going over what’s new in Category I for E/M and Surgery section codes. Expect Remote and Online to Dominate E/M Changes You probably know there will be […]

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Anesthesia Coders: Know How to Report for Multiple Procedures During Obstetric Cases

26. August 2019

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Obstetrical cases don’t always go as planned, so make sure you’re ready to report the correct anesthesia CPT® codes for these labor and delivery variations. Handle Labor, C-Section, and Tubal Ligation Coding Question: What is the proper coding when a patient has anesthesia for labor that results in a cesarean section with tubal ligation at […]

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Catch Radiation and Home Visit Changes Coming Soon to Medicare Manual

15. August 2019

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Medicare has announced two updates to the Medicare Claims Processing Manual (MCPM). The implementation date is set for Aug. 27, 2019, but they’re effective all the way back to Jan. 1, 2019. If your physician performs home visits or superficial radiation treatment, you’ll want to be sure your knowledge is up to date. 1. Eliminate […]

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MPFS 2020 Proposed Rule: E/M Blended Payment for 2021 Is Dead

5. August 2019

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Another day, another change to E/M plans for 2021! Medicare has released the 2020 proposed rule for the Medicare Physician Fee Schedule (MPFS), bringing in the recent AMA plan to revise E/M coding in 2021. But what does the MPFS say about Medicare payment for office/outpatient visits in 2021? Here’s the scoop. Know What to […]

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