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Use key performance indicators (KPIs) to help ensure your claims are squeaky clean before they leave your practice. We all want to get paid for our work. For healthcare organizations, what prevents payment are claim denials from insurance companies. A revenue integrity program is the key to help avoid denials and to keep money flowing. […]
The post A Solid Revenue Integrity Program Begins With a Good Scrub appeared first on AAPC Knowledge Center.
This overview is the perfect primer for learning what’s changing in the ICD-10-CM code set. The ICD-10-CM code set update for fiscal year (FY) 2024 adds 395 new codes, deletes 25 existing codes, and revises 22 codes (nine of which are to the short title only). There are also 131 new headers and four revised […]
The post Get a Jump on Diagnosis Code Changes for FY 2024 appeared first on AAPC Knowledge Center.
On the horizon: Uber Health expands patient access to healthy food delivery and over-the-counter items. On June 13, Uber Health announced Uber will soon deliver groceries and other over-the-counter (OTC) items to patients as it expands beyond medical transportation to help those who can’t get to the supermarket, such as patients with social determinants of […]
The post Uber Health Helps Remove SDOH Barriers for Patients appeared first on AAPC Knowledge Center.
Attendees spent two days gathering valuable insights into risk adjustment. Medical coders, billers, auditors, and other healthcare business professionals gathered virtually to learn the latest about risk adjustment and coming changes in 2024 at AAPC’s two-day boutique conference (June 27-28). The first day of RISKCON began with a panel discussion on the 2024 Medicare Advantage […]
The post Highlights From RISKCON 2023 appeared first on AAPC Knowledge Center.
Adults 19-64 may benefit from routine screenings by PCPs. The U.S. Preventive Services Task Force (USPSTF) has recommended that all adults ages 19-64, including pregnant and postpartum persons, be screened regularly for anxiety disorders by their primary care physician (PCP). There was not enough evidence to back screening for adults 65 and older, according to […]
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New technology calls for an abundance of inpatient code changes. The ICD-10-PCS code set update for fiscal year (FY) 2024 brings us 78 new codes for inpatient medical coders to learn and health plans to implement by Oct. 1. In addition to the new codes, the FY 2024 update to ICD-10-PCS includes 14 revised codes. […]
The post FY2024 ICD-10-PCS Update Is a Sign of the Times appeared first on AAPC Knowledge Center.
Noncompliance costs Medicare and its beneficiaries millions of dollars. Despite legislative requirements, the Office of Inspector General (OIG) reported that the Centers for Medicare & Medicaid Services (CMS) was unable to accurately calculate third-quarter 2022 skin substitute payment amounts because average sales prices (ASPs) were reported for only 16 of 68 billing codes. Consequently, Medicare […]
The post Skin Substitute Manufacturers Fail to Consistently Report Prices appeared first on AAPC Knowledge Center.
The federal mandate will end, but employers may still require vaccination. Providers wondering exactly when they can say goodbye to the Medicare and Medicaid COVID-19 vaccination requirement for employees finally have a concrete date — but it may be further away than they’d like. The Beginning of the End On May 1, the Biden administration […]
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Do you know where your patient electronic data is stored? Legislature recently signed by Florida Governor Ron DeSantis amends the Florida Electronic Health Records Exchange Act (the Act) to reinforce the security of state residents’ electronic protected health information (ePHI). Although well-meaning, the law puts yet another level of risk on healthcare providers’ shoulders. Know […]
The post Florida Moves to Strengthen ePHI Safeguards appeared first on AAPC Knowledge Center.
2023 ICD-10-CM update expands F01-F03 code categories to allow providers to indicate disease stage and symptoms. The 2023 update to ICD-10-CM finally provided an expansion of the dementia codes, which has been needed for a very long time. Previously, we were only able to report with/without behavioral disturbance and a code option for wandering (Z91.83) […]
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