Medical Coding and Billing Articles by Month

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Looking Beyond an Employee's Coding Credentials


In today's ever-changing healthcare environment, it is important that organizations hire coding and reimbursement personnel who enjoy learning. Each year changes are made in how healthcare services are coded and reported from federal and state laws, the code sets themselves, and varying payer policies. During the public health emergency (PHE) ...

tags  Loc: All Locations    Payer: All Payers    Specl: All Specialties    Topic: Admin    Topic: Professional Licensing|Certification    Topic: Risk Adjustment   

AMA Announcement of Additional COVID Vaccine Codes and Guideline Changes in December


On Friday, December 17, 2020, the AMA announced several changes in relation to the addition of new codes for the COVID-19 vaccine under development by AstraZeneca and University of Oxford. Codes 91302, 0021A, and 0022A were published on the AMA website and will be effective once they have received Emergency Use Authorization (EUA) from the FDA.

tags  Topic: Code Updates    Topic: COVID-19    Topic: CPT Coding   

ICD-10 Code Updates for January 1st


Be aware that new ICD-10-CM and ICD-10-PCS codes took effect on January 1, 2021. Rarely have ICD-10-CM codes been released in January, but as you may have guessed, these changes are in relation to COVID-19. The information in this article will help your organization understand these changes.

tags  Topic: Code Updates    Topic: COVID-19    Topic: ICD10CM Coding    Topic: ICD10PCS Coding   

HIPAA Penalty Changes


On January 5, 2021, H.R. 7898 was signed into law by President Trump. This new law modifies the HITECH Act such that when an organization experiences a breach, fines and/or penalties may be reduced if (for at least a year) they have instituted “recognized security practices” as defined within the law.

tags  Specl: All Specialties    Topic: Compliance    Topic: HIPAA   

Instructions for Looking up IOM References in innoviHealth's HCPCS Publication


These instructions help owners of innoviHealth's HCPCS Coding for 2021 book access the references to Medicare's Internet-only Manuals (IOMs) which are copies of official program instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives.

tags  Topic: HCPCS Coding    Topic: Procedure Coding    Topic: Supply Coding   

Good and Bad News Regarding the 2021 Medicare Physician Fee Schedule


When the proposed Medicare Physician Fee Schedule came out last year, it really got everyone worried. In a time where we are all facing issues related to COVID, this seemed like a really big problem. Professional organizations lobbied and everyone tried to stop the proposed changes, and the 10.2% decrease didn’t happen, but other changes will still be taking place. So how bad is it really and how will it affect your organization?

tags  Specl: Chiropractic    Specl: Physical Medicine|Physical Therapy    Topic: CPT Coding    Topic: Fees    Topic: HCPCS Coding    Topic: Practice Management    Topic: Reimbursement   

CMS Reduces the Exchange User Fee to Support Lower Premiums for the Consumer


It has been no secret that Americans have been complaining about the high cost of health plans since implementation of the Affordable Care Act (ACA). Premiums and deductibles have skyrocketed and in many states are equal to or exceed the cost of their rent or mortgage payments. As such, most ...

tags  Loc: All Locations    Payer: All Payers    Specl: Risk Adjustment|HCC Coding    Topic: Risk Adjustment   

CMS Final Rule Changes E/M Reporting Guidelines


Just when we thought we had figured out Evaluation and Management (E/M) reporting for 2021, CMS released their final rule and now we will need to make some adjustments. While CMS stated that they were adopting the AMA guidelines for E/M office or other outpatient services, they did make a few changes.

tags  Topic: CPT Coding    Topic: E+M Documentation and Coding    Topic: HCPCS Coding    Topic: Modifier Coding    Topic: Procedure Coding   

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