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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

Capture Payment for Addressing Your Patients’ SDOH

CMS proposes to codify three services that aim to remove barriers to quality care. Healthcare practitioners, especially primary care providers, are spending more time and resources addressing economic and social conditions that influence their patients’ health these days. These social determinants of health (SDOH), as they’re called, can undermine a practitioner’s ability to successfully manage […]

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AAPC Knowledge Center

CMS Proposes 2024 Medicare Physician Payment Policies

The proposed rule focuses on advancing value-based care and making care more accessible. A proposed rule released by the Centers for Medicare & Medicaid Services (CMS), July 13, lays out the law for healthcare services paid under the Physician Fee Schedule (PFS) in calendar year (CY) 2024. Many of the provisions extend or implement previously […]

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AAPC Knowledge Center

Cigna Updates Modifier 25 Payment Policy

Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]

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AAPC Knowledge Center

IDR Payment Determinations Resume Under No Surprises Act

But the cost of submitting a dispute may surprise you. The intent of the No Surprises Act, signed into law in 2020, is to protect patients who receive care from out-of-network providers at in-network facilities and air ambulance services from exorbitant and unexpected balance billing. The problem is that not everyone agrees with the rules […]

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AAPC Knowledge Center

Medicare Updates IVIG Demonstration Payment for 2023

Healthcare providers submitting claims for services, supplies, and accessories ordered under the Medicare Intravenous Immune Globulin (IVIG) Demonstration can expect to see an approximate 2.1 percent payment increase over last year. The calendar year 2023 rate for HCPCS Level II code Q2052 is $ 392.56, compared with $ 384.59 in 2022. What is the Medicare Intravenous Immune […]

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AAPC Knowledge Center

Hospices’ CERT Improper Payment Rate Up In 2022

The payment rate was way up, while the HHA error rate was down. If you’re wondering how much review pressure your hospice is likely to encounter this year, Medicare’s recent Comprehensive Error Rate Testing (CERT) report may tell you. Hospices clocked in with a 12.04 percent improper payment rate for 2022, equaling an estimated $ 2.9 […]

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AAPC Knowledge Center

2023 Medicare Physician Payment Policies Finalized

The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule (MPFS) and Quality Payment Program final rule, released Nov. 1, allows Part B physician payment for behavioral healthcare, cancer screening, and dental care. But while the Centers for Medicare & Medicaid Services (CMS) continues its focus […]

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AAPC Knowledge Center

CMS Proposes 2023 ESRD Payment and Policy Changes

Proposed rule recommends increase in Medicare reimbursement for ESRD and other policy updates. On June 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2023 end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule. The rule proposes to increase Medicare reimbursement to ESRD facilities, update the ESRD Quality […]

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AAPC Knowledge Center

April Brings ASC Payment System Updates

April is upon us. And for those who code and bill for products and services provided in the Ambulatory Surgical Center (ASC) setting, it’s time to familiarize yourself with the quarterly updates to the ASC payment system. The changes to codes and calendar year (CY) 2022 payment rates for ASCs released by the Centers for […]

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AAPC Knowledge Center

Hospitals Face Medicare Payment Cuts

Low-performing hospitals to see a 1 percent cut in Medicare payments under HAC Reduction Program in 2022. The Centers for Medicare & Medicaid Services (CMS) announced last month that 764 hospitals will face Medicare payment cuts in fiscal year (FY) 2022 under the Hospital-Acquired Condition Reduction Program (HACRP). The value-based program may reduce Medicare payments […]

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AAPC Knowledge Center