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02/01/2016
Expect substantial incentives, an increase in quality reporting and the need to hire additional staff if you decide to transition to an alternative payment model (APM), the value-based delivery mechanism that will become a formal part of the Medicare physician fee schedule in 2019.
02/01/2016
Two new E/M prolonged service codes added in the 2016 CPT manual allow you to report extended observation services provided by clinical staff in the office. However, the reimbursement is low and occasions when you would use the codes should be rare, say coding experts.
02/01/2016
Take note of the AMA’s CPT Editorial Panel revision of the code descriptors for office-based prolonged services codes 99354 (Prolonged service, first 60 minutes) and 99355 (Prolonged service, each additional 30 minutes) to include the same language on how to count time applied to newly created prolonged services codes 99415-99416.
02/01/2016
by: Stark Medical Audit and Consulting
Three auditing case studies show you how to improve your practice's charge-capture capability with a diverse set of solutions you can begin to implement today.
02/01/2016
A bipartisan bill cleared by the Senate Finance Committee in December would authorize steps intended to relieve the current backlog of denied claims awaiting administrative law judge (ALJ) hearings.
02/01/2016
Providers that most frequently bill prolonged service codes, including primary care, neurology, hematology/oncology and cardiology, should heed updated time requirements pertaining to office visits.

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