Payer Split-Bill Requirement: Separate Claims to Avoid Edit

Pay attention to dates associated with the new COVID--19 codes, Z20.822 and Z20.828, to avoid billing errors.  In December 2020, the Centers for Disease Control and Prevention (CDC) announced six…

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COVID-19 CPT coding and guidance

New Current Procedural Terminology (CPT®) codes have been created that streamline the novel coronavirus testing currently available on the United States market. New codes for immunizations CPT codes have been…

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Two Common Knee Ligament Injuries and Their ICD-10 Codes

Knee ligaments connect the bones and cartilage, and hold and support the knee joint. Any mild tear in ligaments may severely limit the movement of the knees. Most commonly occurring…

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Medical Coding Guidelines for COVID-19 Treatment and Vaccinations

With COVID-19 vaccinations now being administered across the United States, we have compiled this list of medical code sets to account for the treatment and vaccinations for the novel Coronavirus.…

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CMS Issues Final Rule on MA, Part D

Estimated savings are $75 million over a decade. Federal officials recently announced a series of changes to the Medicare Advantage (MA) and Part D prescription drug programs they hope will…

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CMS Revises 2021 Remote Patient Monitoring Rules, Issues Correction

CMS just issued a correction to its guidance on 2021 Medicare rules for remote physiologic monitoring (RPM) services. The correction is effective January 1, 2021 and revises the preamble commentary in the…

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AMA announces update to COVID-19 vaccine CPT codes

The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®)code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are…

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CMS Defines “Reasonable and Necessary” Medicare Coverage

CMS has codified how it defines “reasonable and necessary” coverage for items and services that may be covered under Medicare Parts A and B in a new final rule. The…

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Looking Ahead in 2021: What IRFs Can Expect

IFR providers expect that the pandemic as well as new regulatory issues will impact their services. 2020 was certainly a historical year, punctuated by the COVID-19 pandemic and an overwhelming…

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25 statistics on medical coder salaries

The average salary for medical coding professionals varies by location, practice setting and credential. The American Academy of Professional Coders conducts an annual survey to gather information about coder salary…

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Rationing Patient Care in a Pandemic

Physicians in general are not trained to think this way, but may be forced to do so in the very near future. During the early part of this month, the…

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