SuperCoder Blog

Patient Nervous About Doctors? Update Medicare Coverage Rules for ABPM

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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We’ve Wrapped Up 4 Medicare PET Coding and Coverage Resources for You!

CMS keeps a close eye on PET imaging, and that means you need to, too. Make sure you’re using all of these resources so you understand coding and coverage for this high-tech imaging option. 1. Know Where to Find NCD Details Medicare has a National Coverage Determination (NCD) for PET scans, with specifics for everything […]

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Details of CMS’s ICD-10 “Family” Business

Curious about CMS’s guidelines regarding code families? The CMS-AMA compromise this summer included the agreement that for one year, CMS will not deny Medicare claims based on ICD-10 specificity as long as you report valid ICD-10 codes from the correct “family.” The term “family of codes” refers to the same thing as an ICD-10 three-character […]

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Payer-Physician Relationships – The Key to Smooth Reimbursement

Practices and providers know how important the patient-physician relationship is, but to stay in business, medical billing professionals must also pay attention to the relationship between the payer and the provider. The better the relationship you have with your payer, the more likely you are to have smooth claims processing and revenue for your work. […]

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