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Medicare updates affect audits, modifiers and version 5010

This month's column covers three timely yet disparate topics: a new CPT modifier, readiness for Version 5010 electronic claims transactions, and the looming expansion of the recovery audit contractors.
May 2011

There's more to Medicare's Annual Wellness Visit

Even though it is not a requirement, it is good practice to use some documentation, such as an Advance Beneficiary Notice, to notify patients that they will need to pay for ... For more information and resources to use when providing the AWV, go online
November 2014

CMS expands tobacco cessation counseling, focuses on audits

At this time, the 2011 reimbursement can only be estimated, but if the Medicare fee schedule conversion factor remains at $36.08 and Medicare conducts its scheduled update of the practice
November 2010

Annual ICD-9 diagnosis code revisions take effect in October

Until Oct. 1, 2013, continue to use the ICD-9 codes. Q: What are the most relevant ICD-9 code changes that I need to incorporate into my practice beginning this
October 2010

New year brings big, small changes to practice administration

Health care reform has had a wide impact on every aspect of primary care medicine, and many agencies within the federal government also have a tremendous influence on practice management.
February 2011

Prepare for this year's significant changes to PQRI reporting

Q: Our practice will be trying PQRI for the first time this year. ... A: For the group practice reporting option, there is an “up front” process.
March 2010

Help ACP determine Medicare's physician service payments ACP will invite random members to provide feedback that could influence Medicare reimbursement on services common to internal medicine. ... Physicians' responses provide necessary insight to the
July 2010

ICD-10 changes looming amid a modern medical landscape

CM. The medical terminology and classification of diseases in ICD-10-CM are more consistent with current clinical practice than ICD-9-CM. ... Health care clinicians will not use all the codes in the classification system; rather they will use a subset of
February 2015

CMS proposes some revised requirements for chronic care

The patient would be given a means to contact the practice's clinicians in a timely manner. ... In this year's proposed rule, CMS has made an effort to simplify certain practice requirements with regard to chronic care management.
September 2014

Changes, improvements for Medicare Physician Fee Schedule

Accountable care organizations (ACOs), on behalf of their clinicians and suppliers who are eligible professionals, will be required to satisfy the reporting criteria of the 22 ACO group practice reporting option ... Regarding the Physician Compare website
February 2014

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