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HEALTHCON 2023: Day 2 Wrap-Up

The first full day of conference started with a look at the current state of healthcare and how we can move into the future. After a successful start yesterday to HEALTHCON 2023, attendees hit the ground running this morning for a full day of sessions. The day was filled with dozens of informative sessions on […]

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AAPC Knowledge Center

AAPC’s HEALTHCON 2023 Convenes in Nashville

The four-day event begins with a conference welcome from the CEO. Today, at AAPC’s HEALTHCON 2023 in Nashville, Tennessee, CEO Bevan Erickson officially began the four-day event with his Conference Welcome. “Healthcare, without a doubt, is one of the most crucial and impactful industries in the world,” he said. It’s a major employer in the […]

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AAPC Knowledge Center

FDA Approves First RSV Vaccine in U.S. for 60-plus

Make sure providers know how to report Arexvy. The first vaccine for respiratory syncytial virus (RSV) in the world, according to global biopharma company GSK, has received Food and Drug Administration (FDA) approval in the United States. The FDA announced, May 3, that “Arexvy is approved for the prevention of lower respiratory tract disease caused […]

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AAPC Knowledge Center

Cigna Updates Modifier 25 Payment Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]

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AAPC Knowledge Center

DME Manufacturer Settles in Alleged False Claims Act Violation

Respironics to pay over $ 24 million in kickbacks scheme. Maryland, other states, and the federal government have reached a settlement with Philips RS North America LLC on behalf of Respironics, a subsidiary to resolve alleged false claims. The durable medical equipment (DME) manufacturer of devices such as ventilators, oxygen concentrators, CPAP and BiPAP machines, and […]

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AAPC Knowledge Center

COVID-19 Vaccination Mandate Expected To End May 11

Stay tuned for official guidance before acting, however. Home health and hospice agencies may see a little relief in the labor shortage arena due to a newly announced regulatory change concerning COVID-19 vaccinations. On May 1, the Biden administration revealed that it was ending the COVID-19 vaccination requirement for a number of parties including employees […]

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AAPC Knowledge Center

2023 CMS Quality Conference Addresses Health Disparities

The PHE is over. It’s time to refocus attention on quality care. The theme for the Centers for Medicare & Medicaid Services (CMS) Quality Conference, held virtually May 1-3 this year, was Building Resilient Communities: Having an Equitable Foundation for Quality Healthcare. Each day of conference was packed with informative and inspiring sessions led by […]

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AAPC Knowledge Center

5 Qualities of a Great Physician Billing Solution

Make an informed decision when choosing a company responsible for your reimbursement. If you’re a physician looking to boost your reimbursement rates, increase your financial performance, save on operating costs, or devote more time to patient care, outsourcing your billing needs is the way to go. Not all physician billing services are the same, however. […]

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AAPC Knowledge Center

New HCPCS Level II Codes for July

And one new code with an effective date retroactive to April 1. The results of the Centers for Medicare & Medicaid Services’ (CMS’) first quarter 2023 drug and biological HCPCS Level II code application review cycle is now available. CMS accepted 36 applications for new drugs and biologicals and approved 23. The new codes established […]

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AAPC Knowledge Center

COVID-19 Vaccine Coding Gets Major Overhaul

6 new COVID-19 vaccine administration codes added. The American Medical Association (AMA) has released several new vaccine administration CPT® codes and revised existing booster codes. These immediate changes are in response to the U.S. Food and Drug Administration (FDA) recently updating its recommendations for COVID-19 vaccines. COVID-19 Coding Changes at a Glance The code additions […]

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AAPC Knowledge Center