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Many clinicians earned Qualifying Alternate Payment Model Participant (QP) status during the 2017 performance period of the Quality Payment Program (QPP). But a long list of them are still eagerly awaiting their 5 percent lump sum incentive payment. The Centers for Medicare & Medicaid Services (CMS) began disbursing the 5 percent APM incentive payment to […]
The post 5% Payment Incentive in Limbo for Many QPs appeared first on AAPC Knowledge Center.
Three credible sources give three different answers, and only one is right. The definition for billing units of allergy serum preparation for patients was recently challenged by a colleague of mine who works in the allergy space. Are their limitations on diluted antigens when counting units for CPT 95165 Professional services for the supervision of […]
The post How Many Units of 95165 Can You Bill, Really? appeared first on AAPC Knowledge Center.
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Do you toss last year’s coding books, keep them, or reuse them to create a one-of-a-kind masterpiece? Every year you invest in a new set of code books. After a few years in this field, you’ve accumulated enough CPT®, ICD-10, and HCPCS Level II books to fill up an entire row of shelf space. What […]
The post Too Many Medical Coding Books, Not Enough Space appeared first on AAPC Knowledge Center.
The Office of Inspector General (OIG) did a study of physical therapy claims and documentation for Medicare patients and issued a report this month in March. Their findings are of great concern for the PT and rehabilitation specialty. The OIG reviewed claims from 2013 and found that 61 percent of the Medicare claims for outpatient PT […]
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Thank you so very much for your time,
Melody C. Reilly, CPC
Although comparing the third quarter 2017 payment amount with the prior quarter reveals that, on average, prices for Part B drugs increased by 0.1 percent, according to the Centers for Medicare & Medicaid Services (CMS), there are several code changes in the July 2017 update that will soon affect claims payment under the Outpatient Prospective […]
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