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Capture full payment for remote visits during the PHE for COVID-19. An interim final rule published in the April 6, 2020, Federal Register explains how to bill telehealth services during the COVID-19 public health emergency (PHE). The final rule goes into great detail, explaining why the place of service (POS) code 02 is not being […]
The post Using Modifier 95 for Telehealth Makes Cents appeared first on AAPC Knowledge Center.
Providers no longer need to link documentation to diabetes mellitus for certain related conditions for coding; it’s implied. Medicare risk adjustment (MRA) coders identify active diagnoses that determine a patient’s level of risk (the likelihood of that patient needing medical care). This helps health plans project the cost of caring for their patient population. That […]
The post Guideline I.A.15: The One that Makes Risk Adjustment Coders Happy appeared first on AAPC Knowledge Center.
No one is more excited about AAPC’s HEALTHCON in Las Vegas, April 28-May 1, 2019, than AAPC’s Director of Live Events, Melanie Mestas. She and her staff plan, organize, and put HEALTHCON on every year. And Melanie is the person to do it as she’s worked on AAPC conferences for more than 20 years. When […]
The post Melanie Mestas Makes HEALTHCON Live appeared first on AAPC Knowledge Center.
Learn, build confidence, and demonstrate proficiency with AAPC’s multi-functional coding scenario tool. Like learning to play the banjo or master ballet, medical coding requires practice. Whether you’re new to coding, need a refresher course, or looking to broaden your skills, AAPC’s Practicode lets you practice medical coding to perfection using redacted medical records for a […]
AAPC Knowledge Center
Last June, U.S. Department of Health and Human Services (HHS) announced an ongoing effort to enhance transparency. One of its efforts has become updating the Office of Inspector General’s (OIG) Work Plan monthly, rather than annually. Another step HHS took to increase compliance transparency is by providing new tools and resources for the public to […]
AAPC Knowledge Center
By congressional request, the Office of Inspector General (OIG) prompted a series of audits, which investigated group home abuse and neglect of developmentally disabled residents. The findings were horrifying. According to their website, they “found that these residents often experienced serious injuries and medical conditions that resulted in emergency room visits,” and that “99 percent […]
AAPC Knowledge Center
The Centers for Medicare & Medicaid Services (CMS) announced January changes to the 2018 HCPCS Level II code set, released in November 2017. The changes to C codes include retroactive effective dates and to several elements in G codes. The changes are below and do not show up in any publishers’ books: CODE ACTION EFF […]
AAPC Knowledge Center