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Every year we take direction from the most recent CPT® code book, but it’s important to recognize that it doesn’t have the final say on how to document and code evaluation and management (E/M) visits. For the latest guidance, you need the 2021 CPT® Errata and Technical Corrections. Following the implementation of the updated E/M […]
The post AMA Releases 2021 CPT® Errata and Technical Corrections appeared first on AAPC Knowledge Center.
Understand the importance of listing hospital charges publicly.
The post 2021 Brings Hospital Pricing Transparency appeared first on AAPC Knowledge Center.
Know your modifier KX rules to ensure payment for therapy in 2021.
The post Therapy Threshold Amounts for 2021 appeared first on AAPC Knowledge Center.
Several changes have been recently made to the ICD-10-CM Official Guidelines for Coding and Reporting for fiscal year (FY) 2021. The guidelines changes affect code assignment for conditions and symptoms related to COVID-19. The Centers for Medicare & Medicaid Services (CMS) released the updates in December 2020. Familiarize yourself with the following new and revised […]
The post 2021 ICD-10-CM Coding Guidelines Get a Refresh appeared first on AAPC Knowledge Center.
CPT® 2021 code updates for quarters 2 and 3 have been released by the American Medical Association (AMA). The new, revised, and deleted codes will be updated in Codify by AAPC as the changes go into effect. Make sure your practice updates other coding resources such as the CPT® 2021 code book and electronic health […]
The post CPT 2021 Update: New Lab, Category III Codes appeared first on AAPC Knowledge Center.
In a final rule, CMS expands telehealth coverage but enforces budget neutrality mandate. After a slight delay, the Centers for Medicare & Medicaid Services (CMS) has finalized 2021 payments and policies under the Medicare Physician Fee Schedule (PFS). Most notably, the final rule makes permanent several telehealth flexibilities introduced during the public health emergency (PHE) […]
The post Expect Give and Take in 2021 Physician Fee Schedule appeared first on AAPC Knowledge Center.
CMS continues to phase in the Quality Payment Program while MACRA mandates loom. The long-awaited Physician Fee Schedule (PFS) final rule, now pending publication in the Federal Register, finalizes proposed updates to the Quality Payment Program (QPP) and its two tracks — the Merit-Based Incentive Payment System (MIPS) and Advanced Alternate Payment Models (APMs) — […]
The post Final Rule Updates MIPS for 2021 and beyond appeared first on AAPC Knowledge Center.
About $ 150 million less will make it into home health than proposed. The scores of comments on the Home Health final rule for 2021 fell mostly on deaf ears. The Centers for Medicare & Medicaid Services has changed almost nothing from the 2021 proposed rule. What HHAs wanted: Home health agencies (HHAs) and their representatives […]
The post Home Health Pay Increase Scaled Back for 2021 appeared first on AAPC Knowledge Center.
Gastro E/M scenarios illustrate upcoming coding changes.
The post Use Gastro E/M Scenarios to Ease 2021 Anxiety appeared first on AAPC Knowledge Center.
Labs soon will have to work harder to merit the maximum allowed Medicare payment for high-throughput tests used to detect SARS-CoV-2. The Centers for Medicare & Medicaid Services (CMS) has been paying labs $ 100 per test — up from $ 51 — since a public health emergency (PHE) for COVID-19 was declared on March 18, 2020. […]
The post COVID Tests Worth Less in 2021 appeared first on AAPC Knowledge Center.