Tag Archive | "2019"

Take the Mystery Out of the MPFS Conversion Factor and Calculations

Monday, January 14, 2019

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In the 2019 Medicare Physician Fee Schedule (MPFS), the conversion factor is 36.0391 compared to 35.9996 in 2018. But that sort of information helps only if you know what a conversion factor is and what to do with it. Here’s a primer you can turn to when you need to brush up on your MPFS […]

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Here’s How MIPS Participation Eligibility Shrinks and Grows in 2019

Thursday, January 10, 2019

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We’re in the third year of the Quality Payment Program (QPP), which includes the Merit-based Incentive Payment System (MIPS). The QPP is connected to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Because MIPS may result in Medicare payment adjustments up or down, knowing whether you’re required to participate is an essential first […]

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HCPCS 2019: Update CROS/BiCROS Hearing Device Codes for a Better Clinical Match

Friday, January 4, 2019

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For those of you who report contralateral routing hearing aid devices (CROS/BiCROS), here’s what you need to know about the big makeover these codes got for 2019. Catch the Little Differences in Code Descriptors As noted in a previous blog post about HCPCS 2019, the hearing aid codes will test your ability to spot tiny […]

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Get the Latest on Changes to Medicare’s 2019 History Documentation Requirements

Thursday, December 20, 2018

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We’ve been talking a lot about the 2019 Medicare Physician Fee Schedule final rule, but when there are changes to E/M rules, there can never be enough information, right? CMS recently released a response to a question that arose during a provider call about what parts of history ancillary staff or the beneficiary can document […]

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HCPCS 2019: Get to Know New Code G2012 for Virtual Check-In

Monday, December 17, 2018

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Payment for non-face-to-face communication with patients isn’t the most clear-cut topic. But with new 2019 HCPCS code G2012, you’ve got an intriguing option for virtual check-ins with Medicare patients. Ready to learn more? Dig In to the Long Descriptor for G2012 The first place to learn about the code is the long code descriptor: G2012 […]

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Do You Land in the Winner Column for MPFS 2019?

Thursday, December 6, 2018

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For the 2019 Medicare Physician Fee Schedule (MPFS), we’ve talked about E/M and a bit about remote monitoring. But now let’s take a general overview of the ups and downs expected for individual specialties. Know Where to Find the Info and What It Means Table 94 of the 2019 MPFS final rule is titled “CY […]

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Language Lesson: Add These Terms to Your MIPS 2019 Glossary to Save Research Time

Tuesday, December 4, 2018

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When MACRA and MIPS come up, does it feel like speaking another language? For the 2019 performance year, there are even some new terms to learn. We’ve got the new language and tips on where you’ll see it used so you don’t have to spend time searching. Collection Type: Apply to Sets of Similar Quality […]

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Black Friday Blog: 2 for 1 With 2019 HCPCS and CPT® News in 1 Post!

Friday, November 23, 2018

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Does coding news get you super-excited, even on Black Friday? Well HCPCS 2019 is out for review, and CPT® 2019 already has errata posted. So here’s some news you can use for both code sets … when you get back to your regular work schedule after the holiday! Filter Through HCPCS Updates With These Areas […]

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PICC 2019: Move Point by Point Through Requirements for New and Revised Codes

Thursday, November 8, 2018

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What’s the word to know for CPT® 2019 PICC updates? Imaging! Make sure your documentation and coding are ready to handle these three revisions and two additions for peripherally inserted central venous catheters, effective Jan. 1, 2019. A tip for coding history buffs: The AMA CPT® Editorial Panel discussed these changes as far back as […]

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Drum Roll: What Does MPFS 2019 Final Rule Say About E/M?

Monday, November 5, 2018

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Medicare released the CY 2019 Medicare Physician Fee Schedule (MPFS). One of the big questions from the proposed rule was whether E/M payment rules would change. Here are some highlights on what made it into the final rule for E/M and what didn’t. The News You’ve Been Waiting for … The proposal to combine payment […]

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