Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page
Quality Payment Program participation gets a little easier in some ways, tougher in others. A proposed rule published in the Aug. 17 Federal Register outlines potential changes to the Quality Payment Program (QPP) starting Jan. 1, 2021. Rather than implementing certain provisions finalized last year, however, the Centers for Medicare & Medicaid Services (CMS) is […]
The post What’s In Store for MIPS Eligible Clinicians? appeared first on AAPC Knowledge Center.
Eligible clinicians can now see the results of their 2017 performance in the Merit-based Incentive Payment System (MIPS). Feedback includes performance category scores, final scores, and 2019 MIPS payment adjustments. The Centers for Medicare & Medicaid Services (CMS) is mandated under MACRA to adjust payments for professional services furnished to Medicare patients provided by MIPS […]
AAPC Knowledge Center
Regarding appropriate modifier for a TCM within the global surgery period. Claim denied due to document request as well as modifier missing. Services were verified, so now just a question of appropriate modifier. Industry notes I’ve gathered recommend surgical code with appended modifier -55 but TCM are services I need to bill… this is not strictly post op due to surgery but transitional care management related to hospital then rehab discharge and I would like to append modifier -24. Does this make sense? The TCM was for Rehab discharge but still within postop period and patient has other conditions to consider.
Truly appreciate any advisement / thoughts. – Marandee
Get the help you need to succeed in the Quality Payment Program. There are many free resources available to help eligible clinicians successfully participate in the Quality Payment Program (QPP). Through the established Quality Innovation Networks, the Transforming Clinical Practice Initiatives, and the Alternative Payment Model Learning Systems, every clinician in the Quality Payment Program […]
AAPC Knowledge Center