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CPT 2019: Check the 6 new E/M codes, and don't overlook the new guidelines

09/10/2018

You’ll find new guidance that will help practices document services, code correctly and combat denials in your 2019 CPT manual. The electronic version of the 2019 CPT manual is available and DecisionHealth has reviewed the book to create this overview of some of the revisions and additions in next year's manual.

E/M pay proposals elicit scorn, concern from much of the medical community

09/10/2018

by: Richard Scott

As soon as Jan. 1, the entire sub-structure supporting outpatient E/M encounters could get razed, as Medicare seeks to transform the current methods of documentation and payment for a batch of services that practices report millions of times per year. While the provider community is welcoming of documentation changes, payment revisions remain a tremendous sticking point.

As ransomware heats up, here are 6 preventive steps that can save your data

09/10/2018

by: Roy Edroso

You could be doing your “due diligence” on cybersecurity and still get hit by a ransomware attack. These six extra steps can beef up your defenses.

Find the right partners to make virtual groups for MIPS worth it for your practice

09/10/2018

by: Roy Edroso

You have until the end of the year to sign up for Merit-based Incentive Payment System (MIPS) virtual groups, and teaming up with complementary providers may help you get better scores more easily.

Proposed 50% markdown on E/M+25 scenarios means losses for common combos

09/10/2018

by: Roy Edroso

CMS’ plan in the proposed 2019 Medicare physician fee schedule to cut either a E/M charge or a procedure charge when modifier 25 is used would, if finalized, require some billing changes – and result in varying degrees of loss -- in common scenarios.

AHRQ offers free forms to get patients to write down their questions

09/10/2018

by: Roy Edroso

Part B News is always happy to wind up on the same wavelength as HHS' Agency for Healthcare Research and Quality (AHRQ), especially when it comes to hot ideas for improving patient care.

Excluded RN costs practice $61,000

09/10/2018

by: Marla Durben Hirsch

William H. Newman, M.D., and Allergy & Asthma Specialists of Northern Vermont, P.C., agreed to pay a $61,142.96 settlement to the HHS Office of Inspector General (OIG) on July 2.

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