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05/01/2017

Congress appears set to revive the bill that would repeal the Affordable Care Act (ACA), and fear that a government shutdown will interfere with critical Medicare operations eases in our latest Washington roundup.

05/01/2017

Focus more on the preventive aspects of the “Welcome to Medicare” visit instead of the physical exam components and you may steer your practice to more success with this oft-denied service.

05/01/2017

Use the checklist below to ensure you’re meeting the full slate of requirements for the initial preventive physical exam (IPPE), also known as the Welcome to Medicare exam. The list is courtesy of Belinda Holmes, president of Healthcare Management Consulting in Sarasota, Fla.

05/01/2017
Question: Can a consulting psychiatrist and/or a psychologist bill HCPCS codes G0502, G0503 and G0504 for psychiatric collaborative care management (CoCM) services or is this for the patient’s primary care provider (PCP) only?
05/01/2017

Ensure you’re meeting the 15-minute time requirement and achieving minimum staff-assisted support and you may brighten up your coding for depression screening when you report G0444 (Annual depression screening, 15 minutes).

05/01/2017

The historically high denial rates on initial preventive physical examination (IPPE) and annual wellness visit (AWV) codes have seen a slight dip — even when billed with modifier 25 (Significantly, separately identifiable E/M service), commonly used when the physical results in a procedure.

04/24/2017

As spring and its yearly influx of allergens arrive, get ready to trim your allergy coding denials with a plan that incorporates strict unit reporting and code-bundle adherence.

04/24/2017

You’ll have a manageable set of diagnosis code changes on Oct. 1 — a total of 406 new, revised and deleted codes — and providers who code non-pressure chronic ulcers will receive the bulk of the new codes in the form of 72 new diagnoses that fill in the blanks for ulcers without evidence of necrosis.

04/24/2017

Here are the latest policy updates from the nation’s capital on the Trump administration’s attempt to shore up the Affordable Care Act (ACA) marketplace and how cuts will be applied to HHS.

04/24/2017

The opportunity to get reimbursed for the upcoming Medicare Diabetes Prevention Program (MDPP) — which may be conducted by non-providers and with low overhead — may be easier for your practice if you obtain CDC recognition for an online version of the program or partner with a provider that has already done so.

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