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The October 2022 update to the ASC Payment System brings new codes, payment indicator changes, and corrected drug payments. Fourth quarter updates to the Ambulatory Surgical Center payment system (ASC PS), effective Oct. 1, 2022, include a new device pass-through code, new HCPCS Level II codes for drugs and biologicals, and new low-cost and high-cost […]
The post What’s New for Surgical Centers? appeared first on AAPC Knowledge Center.
Stay on top of the latest changes to help your providers earn positive payment adjustments and favorable consumer ratings this year. Here we are, year six of the Quality Payment Program (QPP). How time flies. The Centers for Medicare & Medicaid Services (CMS) had until the 2022 performance period/2024 payment period to fully implement the […]
The post Learn What’s New for MIPS in 2022 appeared first on AAPC Knowledge Center.
Set the record straight with patients to prevent surprise billing. If you work in a medical billing office, you know how frustrating it can be to get a phone call from a patient asking why they are getting a bill for their “free” visit. The patient is frustrated because they do not understand the components […]
The post What’s Included in an AWV? appeared first on AAPC Knowledge Center.
Operation Warp Speed (OWS) — a partnership of the Department of Health and Human Services (HHS), the Department of Defense (DOD), and the private sector — aims to ramp up the development, manufacturing, and distribution of COVID-19 vaccines, therapeutics, and diagnostics (collectively known as countermeasures). The program has pumped billions of dollars into numerous pharmaceutical […]
The post Operation Warp Speed: Redefining What’s Inconceivable appeared first on AAPC Knowledge Center.
Quality Payment Program participation gets a little easier in some ways, tougher in others. A proposed rule published in the Aug. 17 Federal Register outlines potential changes to the Quality Payment Program (QPP) starting Jan. 1, 2021. Rather than implementing certain provisions finalized last year, however, the Centers for Medicare & Medicaid Services (CMS) is […]
The post What’s In Store for MIPS Eligible Clinicians? appeared first on AAPC Knowledge Center.
I wanted to get other’s opinions on the much debatable issue of diagnostic versus preventative colonoscopy in my office. I have several providers within my office that like to order "screening" colonoscopies for the below scenarios.
1. Pt says they are here for a screening colon, first colon ever, but in the medical record physician documents symptomatic issues of constipation, rectal bleeding, diarrhea, etc. My provider feels that since the patient has not had a screening colon that they can order the procedure as such. I advise the provider that since the patient presented with symptoms then it is not a screening, per several articles I have found on the web from AAPC. How many other coders/billers have come across this issue and how did you handle this situation?
2. Patient comes in for screening colonoscopy. Provider documents that patient has "stable" chronic constipation. How would you code? In my opinion, patient has an issue and thus would be diagnostic, but the providers states that since it is stable it can be coded as a screening. Opinions?
Thank you all for your thoughts and opinions.
Credentials open many doors to career opportunities. Which one will you enter? AAPC provides training and examination for every certification you could ever need to work in the business of healthcare. If you are new to the business of healthcare, you may not know which certification will help you to achieve your dream job. You […]
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Getting the first medical coding credential is only the beginning of a career of curiosity and growth. Many coders choose to continue earning credentials in specialty coding and different venues. How do those who choose additional credentials decide what is a good second credential? Opportunities in specialty coding require new competencies, and credentials, they say, reflect […]
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