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With everything a physician practice has to keep track of -- the new merit-based incentive payment system (MIPS), ICD-10 code changes, enrollment changes and more -- you might feel overwhelmed. But we've got you covered.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

The Comprehensive Primary Care Plus (CPC+) model announced April 11 by CMS will work with private insurers to pay participating primary care providers a per beneficiary per month (PBPM) fee, allowing them to design their own care choices for patients, including services not currently paid under the Medicare fee-for-service model.

Providers must establish a treatment plan, discuss potential risks and even consider regular drug-screening tests for patients for whom they prescribe opioids, advises a new set of guidelines from the CDC.
Physicians will have another way to report removing ear wax in 2016 now that surgical code 69209 (Removal impacted cerumen irrigation/lavage, unilateral) joins higher level 69210 (Removal impacted cerumen requiring instrumentation, unilateral) in the auditory system section.


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