Tag Archive | "physician fee schedule"

Here’s Why the MPFS Should Be at the Top of Your Modifier Checklist

Monday, February 25, 2019

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When you think of the Medicare Physician Fee Schedule (MPFS), fees might be the first word that comes to mind. But modifiers should be a close second. Here’s how you can use the MPFS to improve your modifier accuracy for Medicare claims. Start here: To read about the MPFS bilateral indicator and modifier 50, read […]

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Say Cheese! Medicare Is Paying for Photo and Video Evals in 2019

Thursday, January 17, 2019

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If a picture is worth 1,000 words, how much is evaluating a picture worth? Medicare has taken a stance on that. As of Jan. 1, 2019, Medicare is paying for remote evaluation of pre-recorded patient videos and images reported using G2010. Here’s what we know from the Medicare Physician Fee Schedule Final Rule. Compare Our […]

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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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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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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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On the Cutting Edge? Check Out These ‘Remote’ CPT® 2019 Additions With MPFS Tips

Wednesday, October 17, 2018

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The CPT® 2019 code set is adding to your options for remote services. Here’s a rundown of the changes you can expect for certain remote monitoring services as well as EHR consultative time. Turn to 9945X for Remote Physiologic Monitoring The new code set will add codes for remote physiologic monitoring (like weight, BP, pulse […]

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2019 MPFS: Prolonged Preventive Service Codes May Make It On to Telehealth List

Tuesday, September 25, 2018

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If telehealth is on your radar, you’ll want to watch the Medicare Physician Fee Schedule for 2019. The MPFS 2019 proposed rule discusses potential changes to Medicare telehealth services, specifically the addition of G0513 and G0514 to the Medicare telehealth list. Get a closer look at these codes so you’ll better understand them and the […]

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Prep Time! July 2018 MPFS Updates Bring More Than RVU Changes

Friday, June 1, 2018

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We’re a month away from the July 2018 Medicare Physician Fee Schedule (MPFS) update. These quarterly changes are easy to overlook, but checking any fee schedule update is important. Even if, for some reason, you’re not interested in RVU changes, there may be changes to indicators (like PC/TC) that affect proper reporting. Here are some […]

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Lucky Number 3! Don’t Miss This $33 Increase for Intubation Code 31500

Tuesday, January 31, 2017

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The 2017 Medicare Physician Fee Schedule (MPFS) final rule estimated a 0 percent impact on total allowed charges for emergency medicine this year. But did you catch the nice boost for 31500 (Intubation, endotracheal, emergency procedure)? Here are the details on that change for those of you who enjoy a nice fee schedule adventure. Catching […]

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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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