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Viewing: Jul 3, 2015
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Medicare Payment IncreaseCongress recently updated the Medicare calculations, eliminating the Sustainable Growth Rate (SGR) and the emergency fixes that have been rushed into place each year. Another benefit of the Medicare Access and CHIP Reauthorization Act of 2015 is that the Medicare conversion... Read More
ICD–10–CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters.
Diagnosis codes are to be used and reported at their highest number of characters available. Like ICD-9, it is the same hierarchical organization. Just as each character beyond three adds more specific... Read More
CMS has released the following MLN Connects® video: The Physician Quality Reporting System & the Value-based Payment Modifier: What Medicare Eligible Professionals Need to Know in 2015. This MLN Connects video presentation provides an overview of the Physician Quality Reporting Sys... Read More
There are some clearing houses accepting test claims. If you talk with your clearing house they can inform you on the process. It is important to verify your systems are able to generate ICD-10 claims and they are received by your clearing house. For providers who want to make ICD-10 cod... Read More
The process of Medicare contractors such as Zone Program Integrity Contractors (ZPIC) and Recovery Audit Contractors (RAC), issuing adverse medical review findings and Medicare Administrative Contractors (MAC) subsequently demanding repayment of alleged overpayments can be very daunting for provider... Read More
To Manage or add a Code List simply go to TOOLS and select MANAGE CODE LISTS.
To modify or access your CODE LIST select “My Codes” at the top of the tool bar.
Here you can access the codes you have selected, add codes manually or upload them from a CSV file.
... Read More
Question: Many of our biopsy procedures have a 10-day global period. What is the purpose of this global period? Is it necessary to delay definitive surgical procedures until the 11th day following a biopsy to treat a person with cancer? Specific examples of this would include biopsies of th... Read More
Find-A-Codes Click-A-Dex is a powerful enhanced search index. Using this tool offers a valuable advantage designed for searching new terminology and codes in ICD-10 Codes.
The modernized ICD-10 has new terminology and some of the key words you have become accustomed to in ICD-9 may have changed.... Read More
2015 PQRS GPRO: 4 Weeks Left to Register by June 30 Deadline
Groups have 4 weeks to register to participate in the 2015 Physician Quality Reporting System (PQRS) Group Practice Reporting Option (GPRO) via the Physician Value - Physician Quality Reporting System (PV-PQRS) Registration System. PQRS G... Read More