Coding The Novel Coronavirus (COVID-19)

On January 30, 2020, the World Health Organization declared the Novel Coronavirus (2019-nCoV) disease outbreak a public health emergency of international concern. ICD-10-CM supplemental guidelines are available regarding COVI-19. This document will help provide official diagnosis coding guidance for the COVID-19 Coronavirus. The ICD-10-CM codes provided in this document are intended to provide information on …

Coding Alternatives for Vaping Injuries & Illnesses

ICD-10 CM has no medical coding guidelines or classifications for vaping / e-cigarette use. With the increase use and illnesses being reported, alternatives need to be used to report these diagnoses until ICD-10 approves specific codes. Some codes you could possibly use would include J69.1 – Pneumonitis due to inhalation of oils and essences T40.7 …

Two commercial payers will stop reimbursing E & M consultation codes

Two commercial payers have announced that they will stop reimbursing E/M services consultation codes CPT 99241-99255. UnitedHealth announced in its newsletter March 2019, that it would match Medicare’s policy to stop recognizing and paying for consultations. “Effective with dates of service of June 1, 2019, UnitedHealthcare will no longer reimburse CPT codes 99241-99255 when billed …

Physician Fee Schedule Proposed Rule Listening Session

  Physician Fee Schedule Proposed Rule:  Understanding 3 Key Topics Listening Session – Wednesday, August 22, 2018 from 1:30 to 3 pm Register – External Link Policy – Opens in a new window for Medicare Learning Network events. Proposed changes to the CY 2019 Physician Fee Schedule would increase the amount of time doctors and …

Utah Has Changed the Law for Patient Debt Collections

UTAH HAS CHANGED THE LAW FOR PATIENT DEBT COLLECTIONS Utah must abide by the new Healthcare Debt Collections Amendment (HB128), requiring that healthcare providers may not send any unpaid patient bills to collections or report them to a credit bureau without following the new Utah notification requirement. Under the new law, once the time has …

MACRA and 99024 and Reporting Post-Op Visits to CMS

Compliance News: MACRA, 99024 and Reporting Post-Op Visits to CMS Department of Justice (DOJ) Updates 99024 – CMS Requires Reporting Post Op Visits Beginning July 1, 2017, the Centers for Medicare and Medicaid Services (CMS) requires practitioners in the following 9 states to report post-operative visits provided during the global surgical period for specified procedures. …

CMS is Accepting Measure Submissions for the Advancing Care Information Performance Category

News Updates CMS is Accepting Measure Submissions for the Advancing Care Information Performance Category until June 30 There’s still time to submit measures for the Advancing Care Information performance category of the Merit-based Incentive Payment System (MIPS). The Centers for Medicare and Medicaid Services’ (CMS) Annual Call for Measures and Activities ends June 30, 2017. …

Review 2017 Program Requirements in the 2017 OPPS-ASC

Review 2017 Program Requirements in the 2017 OPPS/ASC Final Rule on the EHR Incentive Programs Website: Providers who have not demonstrated meaningful use successfully in a prior year and are seeking to demonstrate meaningful use for the first time in 2017 to avoid the 2018 payment adjustment must attest to Modified Stage 2 objectives and …