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Medicare updates affect audits, modifiers and version 5010

This month's column covers three timely yet disparate topics: a new CPT modifier, readiness for Version 5010 electronic claims transactions, and the looming expansion of the recovery audit contractors.
https://immattersacp.org/archives/2011/05/coding.htm
1 May 2011

NJ licensure during COVID-19 offers example of how to meet workforce demand

Temporary licensure of out-of-state practitioners, along with telehealth waivers, may be a valuable, short-term solution to mitigating health care workforce shortages during public health emergencies, researchers said.
https://immattersacp.org/weekly/archives/2022/08/09/4.htm
9 Aug 2022

Help ACP determine Medicare's physician service payments

ACP will invite random members to provide feedback that could influence Medicare reimbursement on services common to internal medicine.
https://immattersacp.org/archives/2010/07/practice.htm
1 Jul 2010

Lessen the burdens of Medicare's home health requirements

Home health care now requires face-to-face certification of eligibility based on the patient's current condition, a burden that doesn't have to be one. A few simple tips can ensure that the patient's needs and Medicare's paperwork are both satisfied.
https://immattersacp.org/archives/2012/02/face.htm
1 Feb 2012

Medicare, many insurers announce coding rules for H1N1

The federal government will pay for H1N1 vaccine, and most large insurers are planning to pay only for its administration. Find out which codes to use and with which insurers.
https://immattersacp.org/archives/2009/11/coding.htm
1 Nov 2009

Medicare pays for annual depression screening

One in six seniors suffers from depression. That rises to one in four with comorbidities. Tools and screens are available to help internists integrate this new focus of care into a practice routine.
https://immattersacp.org/archives/2012/03/tips.htm
1 Mar 2012

The road to advocacy's ‘Final Four’

Although ACP achieved major changes to the evaluation and management (E/M) codes, implementation of these changes has not been perfect. There is ongoing work to be done.
https://immattersacp.org/archives/2023/03/the-road-to-advocacys-final-four.htm
1 Mar 2023

Costs of care among Medicare patients were similar at teaching vs. nonteaching hospitals

The cost of a hospitalization was higher at a major teaching hospital than a nonteaching hospital, but physician costs and 30-day postacute care costs were lower, according to an analysis of common medical and surgical conditions among Medicare patients.
https://immattersacp.org/weekly/archives/2019/06/11/4.htm
11 Jun 2019

Study finds low rates of CAD testing in patients with new-onset heart failure

Of 558,322 new heart failure patients, 34.8% received coronary artery disease (CAD) testing and 9.3% received revascularization within 90 days, which fell below expectations set by current guidelines, according to authors of a study of U.S. administrative claims data.
https://immattersacp.org/weekly/archives/2022/03/01/5.htm
1 Mar 2022

The Medicare e-prescribing incentive—a carrot and a stick

A how-to column on earning an additional $4,000 this year, and practical tips on choosing an electronic health record system.
https://immattersacp.org/archives/2009/03/cpii.htm
1 Mar 2009

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