ED Coding & Reimbursement Alert - 2016 Issue 3
Physician Notes: Get Ready for Overhauled EHR Incentive Program
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Article Overview
This article gives a high-level update for physicians, coders, and practice managers on two timely topics: CMS’s planned overhaul of the EHR incentive program and a Correct Coding Initiative (CCI) update affecting certain reimbursement and reporting combinations. It is relevant for readers tracking federal health IT policy, preventive service coding, prolonged service reporting, and bundled-code edits that may affect claim submission and compliance.
Why This Topic Matters
The piece highlights policy and edit changes that can affect how practices document, report, and submit claims. It is useful for teams that need to stay current on CMS payment policy and annual CCI updates.
What You Will Learn
- What CMS says is driving changes to the EHR incentive program
- What general principles CMS says will guide the EHR transition
- Which broad categories of codes are affected by the cited CCI update
- How the article frames the relationship between preventive, E/M, prolonged service, and ventilation-related reporting edits
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Compliance teams
- Health IT stakeholders
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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