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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

Learn About OPPS Changes in July Update

But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicare’s Outpatient Prospective Payment System (OPPS) in the July update mirror those in the Medicare Physician Fee Schedule Database (MPFSDB) update for the same quarter — such as the new […]

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AAPC Knowledge Center

CMS Updates the MPFSDB for July ’22

But many of the changes to the Medicare Claims Processing System are retroactive. A quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) requires Medicare Administrative Contractors (MACs) to make several changes to their claims processing systems, many of which are effective prior to July 1. MACs are not required to search their files […]

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AAPC Knowledge Center

Take 5: Medicare News You Can Use – July 2021

Get caught up on the medical coding and billing news that could affect payment for your professional claims. We cut out the rhetoric and give it to you plain and simple. OIG Audit Uncovers Overpayments for TCM Services If your physicians bill for transitional care management (TCM) services, it’s time for an internal audit of […]

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AAPC Knowledge Center

2021 E/M Guidelines FAQ – July

AAPC’s senior VP of products answers your questions about coding for office and other outpatient services. Ever since the release of the new 2021 evaluation and management (E/M) guidelines for office and other outpatient services, AAPC has been conducting numerous trainings through webinars, virtual workshops, conference sessions, online courses, and multiple articles in Healthcare Business […]

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AAPC Knowledge Center

July 2020 ASC Payment System Update

The Centers for Medicare & Medicaid Services (CMS) released the July 2020 update of the Ambulatory Surgical Center Payment System (ASC PS) last month. Providers and suppliers billing Medicare Administrative Contractors (MACs) for services subject to the ASC PS need to be aware of the changes to and billing instructions for various payment policies implemented […]

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AAPC Knowledge Center

NCCI Tightens Up Cardio, Lab Edits July 1

Several procedure-to-procedure (PTP) edit changes in the Medicare National Correct Coding Initiative (NCCI) database will go into effect July 1. The quarterly update files are now available on the Centers for Medicare & Medicaid Services (CMS) website. Most of the changes account for new CPT® codes added for 2020 or codes that will be deleted […]

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AAPC Knowledge Center

HCPCS Level II Code Changes in Effect July 1

The Centers for Medicare & Medicaid Services (CMS) released on May 13 the July 2020 quarterly update to the HCPCS Level II file. There are 61 added codes to describe healthcare equipment and supplies not identified by CPT® codes, as well as nine deleted codes and three revised codes. The July update to the HCPCS […]

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AAPC Knowledge Center

Message From Your Region 7 Representatives | July 2019

4 Communication Soft Skills that are Important to Effective Communication Soft skills differ from hard skills in that soft skills are less rooted in specific technical abilities, and more aligned with general disposition, your attitudes and your intuitions. For example a doctor is required to have many hard skills that are more technical in nature […]

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AAPC Knowledge Center

Ambulatory Surgical Center Payment System July 2019 Update

An Ambulatory Surgical Center Payment System (ASC PS) update that took effect July 1, 2019, changes billing instructions for various payment policies and codes. Here is what you need to know to properly bill Medicare for these services and supplies. New CPT Category III Codes Effective July 1, 2019, the Centers for Medicare & Medicaid […]

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AAPC Knowledge Center