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Coding

Five G Codes Effective Oct. 1

The Centers for Medicare & Medicaid Services (CMS) released six new HCPCS Level II G codes, five of which became effective Oct. 1. The codes helps track federal quality health center (FQHC) visits. FQHCs are paid an all-inclusive rate per visit for qu... Read More >>

October 22nd, 2014

Nearly 550 New, Changed, and Deleted codes for CPT 2015 NCVHS Urges Burwell to Promote ICD-10

Auditing

Take a Medicaid Moment: Use Proper Consent Forms

Know federal and state Medicaid policies for entitlement and their use. You shouldn’t expect your state Medicaid fund to pay or behave the same as other third-party payers, or even Medicare. Medicaid is a federal entitlement program incepted through... Read More >>

January 1st, 2014

“Convenient” Doesn’t Equal “Necessary” Back to Basic: All the Ways (Not) to Unbundle

Practice Management

CMS Wants You to Test ICD-10

The Centers for Medicare & Medicaid Services (CMS) seeks volunteer providers to participate in ICD-10 end-to-end testing with Medicare Administrative Contractors (MAC)  and the Common Electronic Data Interchange (CEDI) contractor January  2015. A... Read More >>

September 22nd, 2014

Part B Premiums Not Changing Fingerprinting Required for High Risk Providers, Suppliers

Compliance

Warning: Import Text Properly

[On the Cover] Ensure clinical documentation integrity in your electronic health records. By Michael Stearns, MD, CPC, CFPC There are advantages and disadvantages associated with the use of imported text in electronic healthcare records (EHRs). Let... Read More >>

June 1st, 2014

Proper Use of Modifier 91 OIG Proposes Safe Harbor and CMP Exception Expansion

Billing

Best Practice for Speeding Up Claims Payment

You can improve the turnaround time it takes to get claims paid by avoiding this common billing taboo: Don't report the same procedure code on multiple lines to account for units of service. There's a more efficient billing method that will help your... Read More >>

August 6th, 2014

The Right (and Left) Time to Bill Modifier 50 Post All Payments Quickly, Even Those Not Auto-posted

News

Documentation Tip: Human Enterovirus D68

By Karen Stanley, MBA, RN Enterovirus D68 (EV-D68)—one of many non-polio enteroviruses—was initially isolated in California in 1962, from four children with pneumonia and bronchiolitis. Although the CDC has received isolated reports of EV-D68 since... Read More >>

October 24th, 2014

Massachusetts Consumers Can Now Compare Healthcare Prices CDC Releases New Infection Control Guidelines