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Comunidad de Profesionales del Manejo de Información de Salud en PR, creada para brindar apoyo, información y guías en ICD 10-CM.

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CMS Extends Overpayment Final Rule to 2016

Publicado por Sally Montes Colon el marzo 1, 2015 a las 11:38am

AMA Coding Guidance: December 2014 CPT® Assistant

Sigmoidoscopy and Colonoscopy Changes for 2015

For Current Procedural Terminology® (CPT®) 2015, significant changes have been made in the lower gastrointestinal (GI) endoscopy code set, following similar revisions that were made to the upper GI endoscopy codes in CPT® 2014. In CPT® 2015, definitions for the following procedures have been revised and added to the Colon and Rectum subsection to clarify the lower GI anatomic structures examined: Proctosigmoidoscopy,…

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Publicado por Sally Montes Colon el febrero 28, 2015 a las 9:53am

Note from the Instructor: CMS Releases Updated -X{EPSU} Modifier Guidance?Sort Of

Medicare Insider, January 26, 2015

Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!

This week’s note from the instructor is written by Debbie Mackaman, RHIA, CPCO, CCDS, regulatory specialist for HCPro.  

 
Providers have been under…
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Publicado por Sally Montes Colon el enero 27, 2015 a las 1:58pm

Note from the Instructor: OIG Continues to Audit Hospital E/M Levels

The OIG recently published a …

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Publicado por Sally Montes Colon el enero 20, 2015 a las 2:58pm

Note from the Instructor: CMS Makes Big Changes to the RAC Program

On December 30, CMS released a new version of the Recovery Audit Program…

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Publicado por Sally Montes Colon el enero 7, 2015 a las 10:26pm

Note from the Instructor: CMS Makes Big Changes to the RAC Program

On December 30, CMS released a new version of the Recovery Audit Program…

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Publicado por Sally Montes Colon el enero 7, 2015 a las 10:26pm

Note from the Instructor: CMS Makes Big Changes to the RAC Program

On December 30, CMS released a new version of the Recovery Audit Program…

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Publicado por Sally Montes Colon el enero 7, 2015 a las 10:26pm

A High-Impact, Low-Cost Approach to Physician Practice ICD-10 Implementation in 2015

As the healthcare industry transitions to the ICD-10 coding system in 2015, physician practices will need to have an aggressive action plan in place for meeting the many challenges associated with implementing the new code set.

Many practices began their ICD-10 implementation processes in 2014 only to put those efforts on hold following passage of the Protecting Access to Medicare Act of 2014 (with its inclusion of a minimum one-year delay). Although the ICD-10 compliance date has…

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Publicado por Sally Montes Colon el enero 6, 2015 a las 10:27am

Physician Participation in PQRS Becomes More $ Imperative

All eligible professionals (EPs) who bill professional services to Medicare, who have not already done so, should consider enrolling in the Physician Quality Reporting System (PQRS), immediately. The cost of not participating is rising, and reporting in 2015 is the last opportunity for EPs in solo practice, or those who practice in small groups, to avoid further payment penalties in 2017.

The financial cost of failing to participate in PQRS is compounded by CMS’ adoption of a…

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Publicado por Sally Montes Colon el enero 2, 2015 a las 2:02pm

 

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Entrada de blog de Sally Montes Colon

AMA Coding Guidance: December 2014 CPT® Assistant

Sigmoidoscopy and Colonoscopy Changes for 2015For Current Procedural Terminology® (CPT®) 2015, significant changes have been made in the lower gastrointestinal (GI) endoscopy code set, following similar revisions that were made to the upper GI endoscopy codes in CPT® 2014. In CPT® 2015, definitions for the following procedures have been revised and added to the Colon and Rectum subsection to clarify the lower GI anatomic structures examined: Proctosigmoidoscopy, Sigmoidoscopy, Colonoscopy, and…Ver más
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febrero 24, 2015 de 8am a 4pm
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Herriamientas 2015 a las Hotel Courtyard Marriot Aguadilla

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Note from the Instructor: CMS Releases Updated -X{EPSU} Modifier Guidance?Sort Of

Medicare Insider, January 26, 2015Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!This week’s note from the instructor is written by Debbie Mackaman, RHIA, CPCO, CCDS, regulatory specialist for HCPro.    Providers have been under CMS, OIG and other contractors’ scrutiny for many years regarding the use–and sometimes abuse–of Modifier -59. The National Correct Coding Initiative (NCCI) edits can…Ver más
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Herriamientas 2015 a las Hotel Courtyard Marriot Aguadilla

febrero 24, 2015 de 8am a 4pm
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Entrada de blog de Sally Montes Colon

Note from the Instructor: OIG Continues to Audit Hospital E/M Levels

The OIG recently published a report about overpayments to hospitals for clinic visits in calendar year 2012. While this may sound like old news and may not come as a surprise to hospitals, billing for Evaluation and Management (E/M) services continues to be an audit focus even though the reimbursement rules for PPS hospitals changed in 2014. It is well known the OIG has been reviewing how Medicare pays for new and established…Ver más
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Herriamientas 2015 a las Hotel Courtyard Marriot Aguadilla

febrero 24, 2015 de 8am a 4pm
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Herriamientas 2015 a las Hotel Courtyard Marriot Aguadilla

febrero 24, 2015 de 8am a 4pm
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Entradas de blog de Sally Montes Colon
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