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Code updates prompted the release of Change Request (CR) 12377 by the Centers for Medicare & Medicaid Services (CMS) on Oct. 13. The updates to chapters 3, 18, and 32 of the Medicare Claims Processing Manual Pub. 100-04 are effective Nov. 17, 2021. CR12377 further clarifies that “Unless otherwise specified, the effective date is the […]
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Follow one coder’s journey from certification to dream job. “There is nothing like the feeling of passing the CPC® certification,” I thought to myself the morning of Nov. 1, 2020, after receiving my Certified Professional Coder (CPC®) exam results. Anyone who has prepared for that exam understands the intense hours of education and study involved […]
The post How to Prepare for a Pre-employment Coding Exam appeared first on AAPC Knowledge Center.
What are the latest changes? Get the facts, fast. Fourth quarter updates to ICD-10-CM and HCPCS Level II code sets and Medicare payment systems happen every year but, like the weather, we’re often caught by surprise. And what a difference a day makes! Proper coding on Sept. 30 may not be proper coding on Oct. […]
The post Coding and Billing Updates – September 2021 appeared first on AAPC Knowledge Center.
Review the AMA’s updated definition of what constitutes a unique test. Many coders are asking the question, “What is a unique test?” As always, we must first turn to the guidelines to see how “test” is defined. In the original published guidelines, the American Medical Association (AMA) stated: “Tests are imaging, laboratory, psychometric, or physiologic […]
The post 2021 E/M Changes: Are You Coding Unique Tests Properly? appeared first on AAPC Knowledge Center.
The shift to outpatient services puts billers and coders with an understanding of the OPPS in demand. Hospital outpatient services are all services provided to a patient in a facility that do not require inpatient admission. Outpatient is defined by the Centers for Medicare & Medicaid Services (CMS) as: “A person who has not been […]
The post Brush Up on Outpatient Billing and Coding Basics appeared first on AAPC Knowledge Center.
Start by asking the right questions. Coding for gynecologic oncology procedures can be complicated. Procedure codes differ depending on whether the procedure is laparoscopic versus open and whether there is lymph node sampling or modifier usage. It’s important for medical coders to know the differences in procedures to ensure proper reporting. The Society of Gynecologic […]
The post Coding Ovarian and Other Gynecological Cancer Treatments appeared first on AAPC Knowledge Center.
What are the latest code changes? Get the facts, fast. This month, there’s new billing guidance for a COVID-19 vaccine; there are three new HCPCS Level II codes for COVID-19 therapeutic injections; and Medicare payment allowances for the 2021-22 influenza vaccine codes have been released. FDA Approves COVID-19 Vaccine Pfizer’s COVID-19 vaccine received the green […]
The post Take 5 – Medical Coding News – August 2021 appeared first on AAPC Knowledge Center.
C9076 is the newest addition to the list of HCPCS Level II codes for CAR-T therapies, effective July 1. Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor (CAR) T-cell therapy to ensure proper medical coding and billing of CAR-T services furnished to Medicare patients. Review the Basics CAR-T is […]
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These services may seem alike, but differences in requirements can make or break your code assignment. Physical therapy (PT) and occupational therapy (OT) evaluations are similar, but like the two disciplines themselves, there are some distinct differences. Both include four components that must be performed and documented to meet the requirements for a particular level […]
The post Evaluate Your OT and PT Coding appeared first on AAPC Knowledge Center.
How long does it take to become a medical billing and coding specialist? If you’re considering a career in medical billing and coding and have seen claims promising to teach you the skills and knowledge you need in a matter of weeks, we’d like to set the record straight. Career Choice: Is Medical Billing and […]
The post 6 Reasons Why You Need More Than a 4-Week Online Course for Medical Billing and Coding appeared first on AAPC Knowledge Center.