CMS E&M Changes: Some MACs are Getting it Wrong

RACmonitor launches an occasional series, “RAC Rants,” with this first post by past president of the Healthcare Business and Management Association (HBMA) Holly Louie. Entries are welcome at editor@medlearnmedia.com. The…

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New CPT® Codes for Principal Care Management Services

These codes are time-based CPT codes, used to report care management activities during a calendar month. The Centers for Disease Control and Prevention (CDC) reports that 6 in 10 Americans…

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OIG audit targets hospital compliance with surprise billing rule

OIG's decision to perform a nationwide audit examining compliance with the Provider Relief Fund's balance billing restriction comes just weeks after new federal rules designed to shield consumers from unexpected…

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Telemedicine Billing Tips

Telemedicine billing was challenging and confusing even before the COVID-19 pandemic thrust remote healthcare into the mainstream. Now, telemedicine is changing healthcare and evolving daily, making telemedicine billing a moving…

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The Rapid Advance of Omicron

Healthcare facilities are rapidly becoming overwhelmed with an influx of new patients who have contracted the highly contagious COVID variant. If you’re confused by the ever-changing Centers for Disease Control…

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New COVID-19 ICD-10-CM and PCS Codes Coming in 2022

The package includes three ICD-10-CM and seven procedure codes. The Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) have both stated that…

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CMS Reinstates COVID-19 Vaccination Mandate in 25 States

CMS announced it would be reinstating the COVID-19 healthcare worker vaccine mandate to facilities in 25 states and the District of Columbia that are not affected by the preliminary injunction.  The states…

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Introduction to the WHO’s ICD-11

Cluster coding is a new feature for coding professionals. The World Health Organization (WHO) began developing the International Classification of Diseases, Eleventh Version (ICD-11), in 2007, and first released a…

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AHA, AMA sue Biden admin to challenge surprise billing arbitration process

The American Hospital Association (AHA) and the American Medical Association (AMA) have filed a joint lawsuit against the federal government, challenging the Biden administration's implementation of the No Surprises Act.…

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New York proposes surprise billing crackdown

The New York State Department of Financial Services wants health insurers to pay any extra bills when their out-of-date provider directories send patients to out-of-network doctors and hospitals. The state…

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High Deductibles Associated with More Medical Bill Problems

In the year and a half following the Affordable Care Act’s first marketplace open enrollment period, the number of families who had trouble paying medical bills decreased by nearly 10…

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How data intelligence will drive precision healthcare in the NHS

As the NHS evolves, many trusts are developing into digitally mature systems, shifting away from the paper-dominated organizations they once were. With the implementation of electronic health records (EHRs), it has…

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Read more about the article CMS Releases Physician Fee Schedule Final Rule
Displeased black healthcare worker using smartphone and reading an e-mail at doctor's office.

CMS Releases Physician Fee Schedule Final Rule

CMS says it the goal is to support health equity while focusing on high-quality person-centered care. Increased leverage of telehealth for behavioral care, diabetes prevention and mitigation, and enhanced payment…

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The Impact of Coding on Maternal Outcomes

This area of coding is not so easy. While most maternal deaths are preventable, the rate has been increasing in the United States since 2000. As a matter of fact,…

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