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Uninsured program payments were made to providers for patients who had health insurance and for services unrelated to COVID-19. In July 2023, the Office of Inspector General (OIG) released the results of its audit of the oversight and management of the COVID-19 Uninsured Program (UIP). The UIP was created as part of a series of […]
The post OIG Finds Distribution of UIP Funds Did Not Comply With Federal Requirements appeared first on AAPC Knowledge Center.
AAPC members gathered in D.C. for education, networking, and … dancing? For the first time since the beginning of the public health emergency, AAPC’s HEALTHCON Regional was held as an in-person-only event. It feels great to be back 100 percent! And what better place than in our nation’s capital, Washington, DC, to talk about healthcare […]
The post HEALTHCON Regional 2023 Rocked! appeared first on AAPC Knowledge Center.
CMS proposes to codify three services that aim to remove barriers to quality care. Healthcare practitioners, especially primary care providers, are spending more time and resources addressing economic and social conditions that influence their patients’ health these days. These social determinants of health (SDOH), as they’re called, can undermine a practitioner’s ability to successfully manage […]
The post Capture Payment for Addressing Your Patients’ SDOH appeared first on AAPC Knowledge Center.
CMS bats down argument to correct inflation underestimation. The slight increase in hospices’ 2024 payment rates, as compared to the amount proposed back in March, isn’t going to be enough to stave off hard times for many hospices. So say industry representatives after the Centers for Medicare & Medicaid Services (CMS) released its final rule […]
The post Hospices Will Continue To Struggle Under Inadequate Rate Bump appeared first on AAPC Knowledge Center.
Questions about 2023 evaluation and management guidelines in the emergency department, answered. AAPC’s HEALTHCON, May 21-24, offered several sessions on the subject of evaluation and management (E/M) coding, including “Emergency Department Professional Fee E/M Coding,” presented by Raemarie Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CCS, AAPC Approved Instructor, AAPC’s chief product officer. In this […]
The post Coding E/M in the ED appeared first on AAPC Knowledge Center.
Know the reimbursement rules for students working in your medical practice. Many medical offices and clinics allow medical students to train in their practices to gain invaluable clinical education and experience. It’s important to support students with this much-needed hands-on work and training. There are some legal implications associated with billing for students’ work, however; […]
The post Billing Implications for Medical Students appeared first on AAPC Knowledge Center.
Take steps to protect yourself and your network from scammers on social media. Several weeks ago, I received a connection request on LinkedIn from a handsome man with an impressive profile. He was not directly involved in the healthcare industry, but I had noticed that he was already networked with a few of my reputable […]
The post Beware of Social Engineering appeared first on AAPC Knowledge Center.
These mistakes prove the devil is in the details. While most of us need to meet productivity standards, we also need to focus on quality and continue to perfect our medical coding skills. In our zest to reach and maintain the ever increasing and challenging productivity requirements, however, our quality and attention to the coding […]
The post Auditor Reveals Common Coding Errors appeared first on AAPC Knowledge Center.
AAPC member Chelsea Kemp, RHIA, CCS, CPC, COC, CPCO, CDEO, CPMA, CRC, CCC, CEDC, CGIC, AAPC Approved Instructor, has over 18 years of experience in healthcare, 13 of which have been spent in coding. Kemp’s passion for coding led her to working full time as a remote outpatient coding educator/auditor for Yale New Haven Health […]
The post Advice From a CEDC® appeared first on AAPC Knowledge Center.
Two Texas medical practices to pay more than $ 500,000. The attorney for the Western District of Texas has announced separate civil settlements totaling $ 513,168.10 to resolve allegations that two area medical practices violated the False Claims Act (FCA) by improperly billing Medicare for P-Stim devices. Medicare does not pay for acupuncture or acupuncture devices like […]
The post FCA Violation Settled for Fraudulent Billing of P-Stim Devices appeared first on AAPC Knowledge Center.