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Making sense of CMS’ new policy on consultation billing

CMS stopped recognizing CPT consultation codes and issued instructions to physicians only a few days before the new policy took effect. ACP's practice management staff digest what internists need to know to stay atop of billing for 2009, documentation, the “3-year rule” and cross-walks for services previously billed as consultations.
https://immattersacp.org/archives/2010/02/practice.htm
1 Feb 2010

Practice uses ACP survey for peer review, quality improvement

True North Health Center in Maine surveyed every patient who came through their doors from March through May last year to let each if its 28 practitioners know outcomes for each provider. Proprietary surveys are expensive, so they turned to ACP's tools. The results helped those performing best to teach their peers about best practices.
https://immattersacp.org/archives/2010/02/success.htm
1 Feb 2010

Prepare for Recovery Audit Contractors as they come online

Medicares new audit program is ramping up, and the College offers practical advice onhow to reduce the administrative cost of compliance.
https://immattersacp.org/archives/2009/06/billing.htm
1 Jun 2009

Start preparing now for ICD-10's looming requirements

The new code set is much larger and will impact not only office staff but vendors. It's now time to start preparing for the transition, which is closer than you think.
https://immattersacp.org/archives/2011/03/coding.htm
1 Mar 2011

Variety of coding changes loom for 2013

A partial freeze on diagnosis coding updates has been extended one year, while new care management codes will be introduced in 2013.
https://immattersacp.org/archives/2012/11/coding.htm
1 Nov 2012

Claims coding edits target improper payments, errors

Knowing the ins and outs of claims coding edits speeds reimbursement, but they are tricky even for experienced office staffers. Learn how to do them properly, and what resources exist to help.
https://immattersacp.org/archives/2010/09/coding.htm
1 Sep 2010

Learn proper coding for modifiers 59 and 25

Learn how to properly use two similar evaluation and management codes to avoid later denials and challenges.
https://immattersacp.org/archives/2012/07/coding.htm
1 Jul 2012

Incentive programs yield mixed results for expectant internists

Three programs that promised more reimbursement for primary care delivered mixed results. The Centers for Medicare and Medicaid Services laid out who actually received more for using computers in medicine, and how much.
https://immattersacp.org/archives/2011/07/coding.htm
1 Jul 2011

PQRI improvements based on physician feedback, says CMS

Medicare's pay-for-reporting program, the Physician Quality Reporting Initiative provides more and different options for physicians to report on quality measures, and staying current on the rules and requirements can be a challenge.
https://immattersacp.org/archives/2009/04/coding.htm
1 Apr 2009

CMS considers codes for additional non-face-to-face services

New codes will allow billing for the complicated and far-reaching services that are provided as part of chronic complex care.
https://immattersacp.org/archives/2013/09/coding.htm
1 Sep 2013

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