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An estimated 224,390 people in the United States will be diagnosed with lung cancer in 2019. That’s 615 people each day, 26 people each hour, and one person every 2½ minutes. Lung Cancer Awareness Month — observed every November — is intended to educate the public about the potential causes and risk factors of the […]
The post Improve Patient Outcomes Through Lung Cancer Awareness appeared first on AAPC Knowledge Center.
When clinical documentation gets overrun with auto-populated data, it’s time to redirect technology to better serve our patients. Medical providers will no longer be required to document the history/medical interview during outpatient/office services in health records starting Jan. 1, 2021, per the 2019 Medicare Physician Fee Schedule (MPFS) final rule. This new policy is supported […]
The post Death of the Documented History, Rise of the Patient Advocate appeared first on AAPC Knowledge Center.
When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new problem to the examiner. This means that, although a problem may be established for a […]
The post MDM – New Problem to Examiner or Patient? appeared first on AAPC Knowledge Center.
You may think you are doing your patients a favor when you write off their copays for your providers’ services. But you may hurt yourself badly in the process if you do. That’s because your practice’s generosity in waiving a patient’s financial responsibility may be violating the terms of your contract with a private payer, […]
The post Know When You Can — and Cannot — Waive Patient Copays appeared first on AAPC Knowledge Center.
Understand their purpose and triggers to help hospitals improve performance ratings tied to payment. In this climate of quality care, the ability to measure and track clinical performance and outcomes within a facility is essential. The Agency for Healthcare Research and Quality (AHRQ) developed Quality Indicators for that purpose. There are four categories of AHRQ […]
The post Why Patient Safety Indicators Matter to Medical Coders appeared first on AAPC Knowledge Center.
The Patient Driven Pay Model (PDPM) will change the Skilled Nursing Facility (SNF) Prospective Payment System’s (PPS) method of classifying SNF patients in a Medicare-covered Part A stay Oct. 1. The Centers for Medicare & Medicaid Services (CMS) provide a number of resources on their web site. Patient Driven Pay Model According to the Centers […]
The post Patient Driven Payment Model SNF Resources Available from CMS appeared first on AAPC Knowledge Center.
Outpatient setting, provider fails to document all 3 key components, but has documented 2/3 key components.
Can an established patient visit be billed, or should we bill nothing at all?
Thank you.