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If you’re a coder, you’ve probably seen the term “same physician” used throughout the CPT® codebook: for example, the descriptor for modifier 25 stipulates, “Significant, separately identifiable evaluation and management service by the same physician or qualified healthcare provider on the same day of the procedure or other service.” But here’s the thing: Under Center’s […]
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The Senate’s Better Care Reconciliation Act (BCRA) received its score from the Congressional Budget Office (CBO), and if the bill passes and is signed into law, providers will see 15 million patients lose coverage next year with another of 22 million losing coverage by 2026. All told, the federal office says 49 million people will lose health coverage […]
AAPC Knowledge Center
With the first year of the Merit-Based Incentive Payment System (MIPS) already well underway, the Centers for Medicare and Medicaid Services (CMS) began sending out MIPS Participation Status Letters in April. The letters were sent to each Eligible Clinician (EC) associated with a group Taxpayer Identification Number (TIN). An EC can also check the Medicare Quality Payment Program (QPP) web site to determine his or her eligibility. The letter and web site contain general information about participation in MIPS, along with email and telephone contact information that should be used if a provider feels his or her status is incorrect.
