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The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously […]
The post CMS Proposes 2024 Medicare Physician Payment Policies appeared first on AAPC Knowledge Center.
Offenders may soon pay a hefty price. On June 27, 2023, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) posted its final rule implementing penalties for information blocking. The final rule establishes the statutory penalties created by the 2016 21st Century Cures Act, which made sharing electronic health information the […]
The post OIG Final Rule Determines Penalties for Information Blocking appeared first on AAPC Knowledge Center.
Many of the changes are effective prior to the 2024 publication date. The American Medical Association (AMA) has posted its CPT® early release documentation for Category I immunization codes, Category III codes, and proprietary laboratory analyses (PLA) codes. These code changes will be included in the CPT® 2024 code set, but have various effective dates. […]
The post AMA Posts CPT® Codes for Early Release appeared first on AAPC Knowledge Center.
Review the changes to ensure quality reporting of ICD-10-CM codes. The National Center for Health Statistics posted, July 5, the fiscal year (FY) 2024 update to the ICD-10-CM Official Guidelines for Coding and Reporting (diagnosis coding guidelines). Medical coders and auditors should review these guidelines at least annually to ensure quality reporting of patient conditions […]
The post 2024 Diagnosis Coding Guidelines Are Here! appeared first on AAPC Knowledge Center.
CMS’ newest program aims to facilitate value-based payment participation. The Centers for Medicare & Medicaid Services (CMS) has a new goal: Get 100 percent of traditional Medicare beneficiaries and most Medicaid beneficiaries into accountable care relationships by 2030. Strengthening the U.S. primary care infrastructure has been an ongoing project for CMS, and they aim to […]
The post Making Care Primary: Strategic Support for Accountable Care appeared first on AAPC Knowledge Center.
Under newly proposed configuration, half of VBP points will come from only two measures. As home health agencies (HHAs) navigate their first year of the Expanded Home Health Value-Based Purchasing (HHVBP) program, Medicare is proposing to change the rules of the game. The Centers for Medicare & Medicaid Services (CMS) wants to swap out the […]
The post VBP Ground Continues To Shift Under HHAs’ Feet appeared first on AAPC Knowledge Center.
AAPC member Janelle Ouderkirk, COC, CASCC, was working claim denials and rejections three years ago when her interest in medical billing and coding began. Her supervisor gave Ouderkirk the opportunity to obtain her Certified Outpatient Coder (COC®) certification, which she passed on the first try. Ouderkirk now works at an ambulatory surgery center (ASC) in […]
The post Advice From a CASCC™ appeared first on AAPC Knowledge Center.
Consider this otolaryngology case study to decide when to append modifier 25. The Cigna Group recently postponed a requirement for documentation to be submitted with all claims that include a 25 modified office or other outpatient evaluation and management (E/M) service (CPT® 99212-99215) and a minor procedure. Although the payer didn’t follow through on this […]
The post Billing an E/M With a Minor Procedure: Yes, You Can! appeared first on AAPC Knowledge Center.
Research codes without slowing your workflow. The authoritative guidance in the American Medical Association’s CPT® Assistant can help you code procedures more accurately and is a trusted go-to resource for when providers and payers have procedural coding questions. If your Codify package includes Code Connect, the CPT® Assistant search add-on, one of the many ways […]
The post Access CPT® Assistant Articles on Codify appeared first on AAPC Knowledge Center.
Meet a member who loves to learn as much as she loves to teach. Each month, AAPC selects a member who demonstrates exemplary leadership qualities. This month, AAPC has chosen Kim Montenegro, CPC, CPB, CPMA, CPPM, CRC, CPC-I, COSC, CSFAC, for her willingness to share the passion she has for the business of healthcare with […]
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