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OIG audit finds Medicare could have saved up to $ 215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain management or substance use disorders. There are two types of drug testing: presumptive and definitive. A presumptive drug test identifies whether drugs […]
The post Overpayments for Definitive Drug Testing Services Cost Medicare Millions appeared first on AAPC Knowledge Center.
Check updated survey memo to ensure your facility is working in compliance. With the COVID-19 public health emergency (PHE) fully into its third year, providers have been wondering about their ongoing responsibilities for emergency preparedness (EP) testing. Now they have an answer. How Often to Providers Have to Conduct EP Testing? In a final rule […]
The post Emergency Preparedness Testing Requirements Clarified appeared first on AAPC Knowledge Center.
The Appropriate Use Criteria (AUC) program, slated to begin Jan. 1, 2021, has been postponed. A notice on the Centers for Medicare & Medicaid Services (CMS) website states that the educational and operations testing period will now continue through 2021. “We encourage stakeholders to use this period to learn, test and prepare for the AUC […]
The post Appropriate Use Criteria Testing Period Extended appeared first on AAPC Knowledge Center.
Over the past several months, as the COVID-19 pandemic has raged on, the American Medical Association (AMA) has expedited the approval and release of CPT® codes to enable reporting of the various testing methodologies that have become available. The CPT® Editorial Panel convened a special meeting to approve additional codes specific to laboratory testing for […]
The post Expedited Release of 4 New Codes for COVID-19 Testing appeared first on AAPC Knowledge Center.
How to code Medicare Part B claims for reimbursement. These past few months have been a whirlwind for everyone, but it’s fair to say medical coders have been hit with a category 5 hurricane. New codes and revised guidelines have been whirring about, making our heads spin. And now we have another new CPT® code […]
The post COVID-19 Specimen Collection and Testing appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) created two new HCPCS Level II codes for lab tests that use high-throughput technologies to detect SARS-CoV-2, the virus that causes COVID-19. The rate for these codes is $ 100, roughly twice the rate of similar tests that don’t use high-throughput technologies. Consider New Codes in Place of […]
The post Coding High-Throughput COVID-19 Testing appeared first on AAPC Knowledge Center.
During an emergency meeting in response to the COVID-19 crisis, the American Medical Association (AMA) convened the CPT® Editorial Panel to approve a new pair of Category 1 CPT® codes. These two new codes are effective immediately, according to the AMA. “The new codes are intended for use as the industry standard for accurate reporting and […]
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Prevalence and risk require targeted diagnostic testing. Onychomycosis (tinea unguium), or fungal infection of the nail, causes almost half of all nail pathologies worldwide. It is a progressive infection of the nail characterized by thickening with degrees of white to yellow-brown discoloration and separation of the nail from the nail bed. Here’s why molecular testing […]
The post Molecular Testing for Nail Fungus Yields Improved Outcomes appeared first on AAPC Knowledge Center.
Medicare covers annual HIV screening. It is important for providers to recommend HIV screening because early detection will help their patients live longer, healthier lives. Claims reimbursement for this preventative service is dependent on proper coding and a clear understanding of benefit limitations and requirements. Here’s what you need to know, especially in honor of […]
The post June 27th is National HIV Testing Day: Coding Fundamentals for HIV Screening appeared first on AAPC Knowledge Center.