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Appropriate Use Criteria (AUC) Penalty Phase Set to Begin
Will the requirement to use Clinical Decision Support (CDS) finally become a reality? The current timetable for the penalty phase of the AUC/CDS rule calls for it to begin on the later of January 1, 2023, or the January 1 following the end of the COV...
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Prepare for Telehealth After the End of Public Health Emergency
The state and federal Public Health Emergency (PHE) declarations related to the COVID-19 pandemic created wide latitude for providers to render services via telehealth in order to prevent the higher risk of in-person contact for patients, providers, ...
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How Much Do You Care About the 2022 Care Management Service Changes?
Care Management Services were developed to improve quality of care and consistency in the treatment of patients with one or more chronic health conditions putting them at risk of significant acute exacerbation, decompensation, hospitalization, or dea...
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The Move to Single-Path Coding
Faulty and errant documentation and coding are driving outpatient reimbursement inefficiencies, costing U.S. healthcare about $54 billion annually. Unaddressed, these costs are increasing alongside outpatient revenue, growing at a year-over-year rate...
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Why Health Insurance Companies Hate Price Transparency
More than a year ago, the federal government passed the Healthcare Price Transparency Act, which was primarily directed toward hospitals. Under the rule, hospitals are required to display their prices and allowed amounts in a machine-readable and con...
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Five Facts about Split Visits
Got five minutes? You can learn five things about the crazy 2022 rules for Split Visits. Hopefully, this will end a lot of the confusion around these relatively new rules....
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Summer Fun: Be Aware of Sunburns - ICD-10
As UV rays are strongest during summer months when the sun is directly overhead, spending more time outdoors can result in sunburns....
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Five Facts about Split Visits
Got five minutes? You can learn five things about the crazy 2022 rules for Split Visits. Hopefully, this will end a lot of the confusion around these relatively new rules.
...
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Continuous Glucose Monitors (CGMs) - New Codes
New codes for continuous glucose monitors (CGMs) became effective on April 1, 2022. The following information is excerpted from MLN Matters MM12564 regarding CGMs. Be sure to review this information and implement policies to ensure accurate reporting...
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Culture in Compliance
For years, we have talked about the culture in healthcare, especially for compliance purposes, but for many practices, that culture takes a backseat despite continued guidance.
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Offsetting Staffing Shortage-Induced Revenue Loss
Exacerbated by pandemic-induced burnout, the Great Resignation, vaccine mandate-driven terminations, and rising retirement rates, the chronic shortage of billing, coding, and audit Read
Understanding the Long List of Prolonged Services in 2022 and Beyond
Prolonged services have been around for a long time - no pun intended - but in recent years, the number of codes involved has grown and their requirements have changed, making them a potentially risky area for providers.
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