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03/13/2017

The Republicans’ Affordable Care Act (ACA) repeal-and-replace bill, the American Health Care Act (AHCA) released Feb. 6, neither repeals nor replaces the law popularly known as Obamacare. The 123-page bill retains to a large extent the original ACA legal framework for regulating insurance plans and their purchases. And here’s another similarity with Obamacare: It has politicians rushing to denounce it.

03/13/2017

If you have 15 or fewer providers – and even if you have more – you can get free help with the quality payment program (QPP) and avoid being one of of the small practices CMS has judged susceptible to QPP penalties.

03/13/2017

You’ll find a cap on how much time you can bill for non-face-to-face prolonged services, numerous injection-code bundles and a revised limit on cerumen-removal coding among other updates in the latest Correct Coding Initiative (CCI) quarterly release.

03/13/2017

Effective Jan. 1, CMS released 18 new HCPCS codes — all J codes — to replace 12 C codes and two Q codes for drugs.

03/13/2017
Question: If a patient is brought into the office for the physician or non-physician practitioner (NPP) to develop the chronic care management (CCM) care plan, am I eligible to bill initiating visit code G0506 as well as an E/M office visit code?
03/13/2017

When it comes to billing transitional care management (TCM) codes 99495 and 99496, it appears practice truly does make perfect — or something close. Following some early hiccups, practices netted more than $103 million in reimbursement for TCM claims in 2015, the latest year of available Medicare claims data.

03/13/2017
Here are the contractors chosen to help small practices with QPP. 

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