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HCPCS Level II Update: Make Room for New Monoclonal Antibody Codes

19. September 2019

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The Oct. 1, 2019, update for HCPCS Level II codes is bringing more than 50 changes for J and Q codes, and several of them are for monoclonal antibodies. We’ve already covered updates to trastuzumab coding; now let’s look at some more changes effective soon. J0593: Add Code for Angioedema Treatment Read the full descriptor […]

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What’s Proposed for MIPS in 2020 and What Are MVPs?

29. August 2019

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The Quality Payment Program (QPP) proposed rule for 2020 adds some insights into what we may see in 2021, as well. One possibility is a new MIPS Value Pathways (MVPs) framework. Here is a look at the highlights for these MACRA-related updates. Prepare for Performance Threshold Points to Go Up First up, the QPP 2020 […]

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Learn Coronary Artery Anatomy According to CPT® and CCI

22. August 2019

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When your job is converting medical documentation into codes, your knowledge of medical anatomy has to be shipshape. But you’ve got the added complication that the code set you’re using may have its own definitions for specific terms. Case in point: CPT® guidelines set out five major coronary arteries with coronary artery branches for only […]

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Top 10 ICD-10-CM Official Guideline Updates for 2020

19. August 2019

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The FY2020 ICD-10-CM Official Guidelines for Coding and Reporting (OGs) are available now so you can prepare for the 2020 diagnosis code changes and rule changes at the same time. Some revisions involved adding a missing word that was already obvious from context, so we won’t cover every change here. But this overview will give […]

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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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Add These AUC-Related Modifiers to Your Imaging Claims in 2020

12. August 2019

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At the end of July, Medicare released a set of modifiers that you need to know if you’re involved in ordering or coding for imaging. The modifiers, effective Jan. 1, 2020, are part of Medicare’s changes related to Appropriate Use Criteria (AUC) for advanced diagnostic imaging services. Check out the AUC-related modifiers below and then […]

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Urology: Prevent Claim Problems by Applying New BCG Code

8. August 2019

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Urology coders who report BCG had an important code update July 1, 2019. Make sure you’ve made this important code swap and understand the new rules for accurate reporting of this bacteria-based immunotherapy. Replace J9031 With J9030 for BCG One use of Bacillus Calmette-Guérin, more commonly known as BCG, is bladder cancer treatment. The provider […]

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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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Patient Nervous About Doctors? Update Medicare Coverage Rules for ABPM

30. July 2019

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A recent update brought Medicare coverage changes for both suspected white coat hypertension and suspected masked hypertension. Here’s your chance to get a handle on the new rules, including a change to the threshold for hypertension. Keep Patients Calm With New ABPM Coverage Medicare coverage of ambulatory blood pressure monitoring (ABPM) for patients with suspected […]

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Reporting Trastuzumab? Here Are All the Codes You Need to Know

25. July 2019

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Trastuzumab HCPCS codes have been multiplying lately. The July 2019 HCPCS updates brought five changes. And there are two more planned for Oct. 1, 2019, implementation. Make sure your coding for this monoclonal antibody is up to date with these tips. Know the Trastuzumab Codes You Have Right Now Oncology coders need to know about […]

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