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OIG audit finds Medicare could have saved up to $ 215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain management or substance use disorders. There are two types of drug testing: presumptive and definitive. A presumptive drug test identifies whether drugs […]
The post Overpayments for Definitive Drug Testing Services Cost Medicare Millions appeared first on AAPC Knowledge Center.
Are you working off the latest list of codes applicable for modifier CS? During the public health emergency (PHE) for COVID-19, patients’ Medicare Part B cost sharing (coinsurance and deductible) is waived for certain healthcare services. The Centers for Medicare & Medicaid Services (CMS) maintains a list of codes to which the cost-sharing waiver applies, […]
The post CMS Waives Part B Cost Sharing for More Services appeared first on AAPC Knowledge Center.
More than $ 14.4 million in inaccurate payments were made to Medicare Advantage (MA) organizations due to the submission of incorrect acute stroke diagnosis codes by traditional Medicare providers, as per an audit performed by the Department of Health and Human Services (HHS) Office of Inspector General (OIG). According to the Sept. 16 report, the overpayments […]
The post Miscoded Acute Stroke Diagnoses Cost Millions appeared first on AAPC Knowledge Center.
The implementation of the Families First Coronavirus Response Act waives cost-sharing (coinsurance and deductibles) for COVID-19 testing-related services. The Act is a bit convoluted (as most Acts are) so the Centers for Medicare & Medicaid Services (CMS) breaks down what it all means for Medicare Part B claims in a special edition of MLN Connects, released […]
The post Waive Cost Sharing on Applicable Claims Using Modifier CS appeared first on AAPC Knowledge Center.
Medical coders and auditors are essential to their employer’s outcome in the Cost performance category. Of the four performance categories in the Merit-based Incentive Payment System (MIPS), — one of two tracks for participation in the Quality Payment Program (QPP) — Cost is the most worrisome because clinicians do not have control over this portion of […]
The post Help Clinicians Factor Cost into the MIPS Equation appeared first on AAPC Knowledge Center.
Everyone is always asking where to find free or low cost CEUs, especially when they are close to their renewal time. There are two places that you can find sources for free and low cost CEUs. The first is your account on the AAPC website. And, Jobs for American Medical Coders has collected an excellent […]
The post Where to Find Free and Low Cost CEUs appeared first on AAPC Knowledge Center.
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Act now to score positive payment adjustments under MIPS. This year, the Cost performance category in the Merit-based Incentive Program (MIPS) is worth 10 percent of an eligible clinician’s or group’s final score. Next year, it goes up to 15 percent — and Cost will continue to gain weight until it accounts for 30 percent […]
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