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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

FY2024 ICD-10-PCS Update Is a Sign of the Times

New technology calls for an abundance of inpatient code changes. The ICD-10-PCS code set update for fiscal year (FY) 2024 brings us 78 new codes for inpatient medical coders to learn and health plans to implement by Oct. 1. In addition to the new codes, the FY 2024 update to ICD-10-PCS includes 14 revised codes. […]

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AAPC Knowledge Center

OPPS April 2023 Update Brings Coding and Policy Changes

You won’t find these codes in your 2023 code books, but they are effective April 1. The Centers for Medicare & Medicaid Services (CMS) has released coding changes and policy updates for the Outpatient Prospective Payment System (OPPS). The updates include the addition of many new HCPCS Level II codes, the deletion of a few […]

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AAPC Knowledge Center

Update Your Skin Substitute Code List for 2023

Four new HCPCS Level II codes are payable under Medicare. The terminology to describe skin substitute products and the Medicare payment methodology did not change this year, but there are four new HCPCS Level II codes to add to your billing system. The new codes, effective Jan. 1, 2023, describe various manufactured allograft products used […]

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AAPC Knowledge Center

2023 Update to Diagnosis Codes Is Substantial

Exactly 1,468 new diagnosis codes will be added to the ICD-10-CM code set for fiscal year (FY) 2023. Moreover, 251 codes will be deleted, 35 code descriptors will be revised, and 36 codes will be converted to parent codes. The changes go into effect Oct. 1. Review the Latest Files The diagnosis code files and […]

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AAPC Knowledge Center

Learn About OPPS Changes in July Update

But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicare’s Outpatient Prospective Payment System (OPPS) in the July update mirror those in the Medicare Physician Fee Schedule Database (MPFSDB) update for the same quarter — such as the new […]

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AAPC Knowledge Center

COVID-19 Monoclonal Antibody Billing Update

Medicare reminds healthcare providers of an important coverage change through claims denials. Ever since a public health emergency (PHE) for COVID-19 was declared on Jan. 27, 2020, there has been several new HCPCS Level II codes created for monoclonal antibody (mAb) products and administration. As confusing as all these new codes and billing requirements have […]

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AAPC Knowledge Center

October Update: Waivers, NCDs, and POS

Take 5 to stay up to date on medical coding news. Aside from the annual update to ICD-10-CM, October brought us news of COVID-19 waiver status, a new telehealth place of service code, a new National Coverage Document (NCD) for chronic non-healing wounds, and plenty of code updates to other NCDs. Let’s get right to […]

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AAPC Knowledge Center

Update: 2021-2022 Flu Vaccine Information

Time to make sure your practice is current on the 2021-2022 codes and payment allowances for flu vaccine and administration. With the novel coronavirus continuing to circulate and cause severe illness in the United States and worldwide, getting a flu shot is once again more important than ever. The 2021–22 influenza season will coincide with […]

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AAPC Knowledge Center

CAR-T Coding Update

C9076 is the newest addition to the list of HCPCS Level II codes for CAR-T therapies, effective July 1. Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor (CAR) T-cell therapy to ensure proper medical coding and billing of CAR-T services furnished to Medicare patients. Review the Basics CAR-T is […]

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AAPC Knowledge Center

Pay-per-view: CMS backs off some burdensome proposals but imposes negative payment update in latest rule

The 2016 OPPS final rule includes the first negative payment update for the system, but CMS also listened to commenters’ suggestions to make a variety of proposals less onerous either operationally or financially.

"CMS’ language is quite firm in parts of the rule when explaining why some proposals were finalized, but the agency also showed its willingness to listen to providers who submitted detailed comments for other proposals," says Jugna Shah, MPH, president and founder of Nimitt Consulting, based in Washington, D.C., and Spicer, Minnesota.
 
Continue reading "CMS backs off some burdensome proposals but imposes negative payment update in latest rule" on HCPro’s website. Subscribers to Briefings on APCs have free access to this article in the January issue. 

HCPro.com – APCs Insider