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Benchmark of the Week
06/29/2020
While Medicare has made it easier to provide home visits, recent claims data reveal a decreasing preference to tap into the series of nine home visit services (99341-99350).
06/22/2020
The primary chronic care management (CCM) code 99490 and the complex CCM codes (99487, 99489) requiring extended time and elevated medical decision-making have been rising in utilization in recent years. Between 2017 and 2018, use of these codes rose 23%, 78% and 285%, respectively, according to the latest available Medicare claims data.
06/08/2020
Though the critical care codes 99291 and 99292 appear to reside in the natural province of emergency medicine providers, this groups files fewer than one-third of these E/M claims. The rest are done by various specialties, including cardiology and family and internal medicine providers.
06/01/2020
Nearly 500 codes — including the two new U codes for COVID-19 and vaping-related disorders — are proposed to be added to the ICD-10 code set under the FY2021 Hospital Inpatient PPS (IPPS) proposed rule, released May 11.
05/18/2020
The trends behind the initial preventive physical exam (IPPE), commonly referred to as the “Welcome to Medicare” visit, underscore a boon to medical practices in recent years, with more dollars pouring in and fewer denials striking down claims.
05/11/2020
A major patient communication vendor’s records show a massive spike in provider-to-patient interactions during the early days of America’s COVID-19 shutdown — an indicator of the importance of appropriate patient messaging in handling the COVID crisis.
05/04/2020
The financial fallout of the ongoing COVID-19 public health emergency (PHE) continues to plague frontline medical practices, with nearly nine out of 10 groups reporting “large decreases” in patient volumes.
04/27/2020
Though the rate of Medicare enrollment growth has slowed, the Initial Preventive Physical Examination (IPPE) meant to welcome patients to the program continues to grow steadily.
04/20/2020
A survey gathering feedback from more than 700 Americans concluded that consumer demand for telehealth services will continue following the COVID-19 pandemic.
04/13/2020
Use of prolonged service codes went up between 2017 and 2018 and — since CMS is increasingly making use of them, especially for telehealth — it promises to go up more. But watch out for some denial traps. 

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