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Prepare for this year's significant changes to PQRI reporting

Now in its fourth year, the Medicare Physician Quality Reporting Initiative continues to adjust its parameters. ACP's Running a Practice section offers resources to stay atop the ebb and flow.
https://immattersacp.org/archives/2010/03/practice.htm
1 Mar 2010

Making sense of CMS’ new policy on consultation billing

CMS stopped recognizing CPT consultation codes and issued instructions to physicians only a few days before the new policy took effect. ACP's practice management staff digest what internists need to know to stay atop of billing for 2009, documentation, the “3-year rule” and cross-walks for services previously billed as consultations.
https://immattersacp.org/archives/2010/02/practice.htm
1 Feb 2010

Practice uses ACP survey for peer review, quality improvement

True North Health Center in Maine surveyed every patient who came through their doors from March through May last year to let each if its 28 practitioners know outcomes for each provider. Proprietary surveys are expensive, so they turned to ACP's tools. The results helped those performing best to teach their peers about best practices.
https://immattersacp.org/archives/2010/02/success.htm
1 Feb 2010

CMS dramatically changes CPT consultation billing for 2010

CMS no longer recognizes CPT consultation codes 99241-99255 for consultations. ACP's practice management staff explain how to bill for outpatient and inpatient visit codes.
https://immattersacp.org/archives/2010/01/practice.htm
1 Jan 2010

Clinicians crucial to avoiding coding errors

Beware believing that coding isn't an important part of an internist's job. What gets overlooked could cost a significant amount if errors go unchecked, especially in the era of Recovery Audit Contractors.
https://immattersacp.org/archives/2010/01/MGMA-coding.htm
1 Jan 2010

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

Adapt to ICD-9 changes most relevant to internal medicine

An expert from ACP's Regulatory and Insurer Affairs section clarifies the changes to ICD-9 coding that ACP expects will most affect internal medicine practices. Changes took effect OCt. 1, and obsolete ICD-9 codes could result in denied or rejected claims.
https://immattersacp.org/archives/2009/10/coding.htm
1 Oct 2009

Clarifying CPT codes for observation, admission, discharge

An expert from ACP's Regulatory and Insurer Affairs section clarifies what codes to use when admitting and discharging patients across the span of several days, and how to handle observation status depending upon how much time is spent.
https://immattersacp.org/archives/2009/09/coding.htm
1 Sep 2009

Expert hints at how GI practices can keep coding current

Medicare's Recovery Audit Contractors are, in fact, auditing physicians more than ever. The “incident toâ€ï¿½ provision and teaching physician guidelines cause the greatest confusion and require special attention to ensure they are used correctly.
https://immattersacp.org/archives/2009/09/gastrocoding.htm
1 Sep 2009

Future claims: Moving toward ICD-10 and new standards

ICD-10 and transactions standards are changing. ACP's practice management staff advise how to stay up-to-date across the entire office as Medicare expands its 13,000 diagnosis codes to more than 68,000.
https://immattersacp.org/archives/2009/07/billing.htm
1 Jul 2009

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