CMS Issues 2024 IPPS/LTCH Proposed Rule
TCI SuperCoder Blog
by Renee Dustman
1y ago
The Centers for Medicare & Medicaid Services (CMS) issued, April 10, the Inpatient Prospective Payment System/Long-Term Care Hospital (IPPS/LTCH) proposed rule for fiscal year (FY) 2024. The post CMS Issues 2024 IPPS/LTCH Proposed Rule appeared first on AAPC Knowledge Center ..read more
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GlycoMark Settles False Claims Act Allegations
TCI SuperCoder Blog
by Lee Fifield
1y ago
The blood test distributor agrees to pay $195,000 to settle allegations that it violated the FCA. The U.S. Department of Health and Human Services Office of Inspector General (OIG) lately conducted an investigation into False Claims Act (FCA) violations by GlycoMark, Inc. The OIG alleges that GlycoMark encouraged providers to submit claims for its hyperglycemia […] The post GlycoMark Settles False Claims Act Allegations appeared first on AAPC Knowledge Center ..read more
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OPPS April 2023 Update Brings Coding and Policy Changes
TCI SuperCoder Blog
by Renee Dustman
1y ago
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 […] The post OPPS April 2023 Update Brings Coding and Policy Changes appeared first on AAPC Knowledge Center ..read more
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5 Skills All Healthcare Business Professionals Should Have
TCI SuperCoder Blog
by Matt Kennedy
1y ago
Do you have the skills employers are seeking most in 2023? Every profession in the medical field has its unique set of requirements. But one thing all healthcare employers have in common is that they’re looking for employees at the top of their game. Physician practices and hospitals could not function without medical coders, billers, […] The post 5 Skills All Healthcare Business Professionals Should Have appeared first on AAPC Knowledge Center ..read more
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Member of the Month: Becky Strom
TCI SuperCoder Blog
by Lee Fifield
1y ago
Join us in thanking this motivated member for her team spirit and quest for excellence. Each month, AAPC selects a member who demonstrates exemplary leadership qualities. This month, we’ve chosen Becky Strom, CPC, COC, CPCO, for her forward-thinking attitude and dedication to service. We think her professional journey, told in her own words, will inspire […] The post Member of the Month: Becky Strom appeared first on AAPC Knowledge Center ..read more
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Advice From a CPEDC™
TCI SuperCoder Blog
by Lee Fifield
1y ago
AAPC member Bonnie Smallidge, CPC, CEMC, CGSC, CPEDC, CUC, has over 25 years of experience in the healthcare industry. She has worked for Massachusetts General Brigham Hospital in Boston for seven years and currently holds the position of Anesthesia and Specialty Surgical Coder III. “I love where I work and what I do, and am […] The post Advice From a CPEDC™ appeared first on AAPC Knowledge Center ..read more
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CMS Updates Drug Spending Dashboards
TCI SuperCoder Blog
by Lara Kline
1y ago
Review the rationale behind the legislation and learn the reason for the update. The Centers for Medicare & Medicaid Services (CMS) recently released its seventh annual update to the Drug Spending Dashboards to include data for 2021 as the agency continues to implement the Inflation Reduction Act. What Is the Inflation Reduction Act? The Inflation […] The post CMS Updates Drug Spending Dashboards appeared first on AAPC Knowledge Center ..read more
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New COVID-19 Code for Bivalent Booster
TCI SuperCoder Blog
by Deborah Marsh
1y ago
Code 0174A is effective now for patients ages 6 months to 4 years. On March 14, 2023, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) of the bivalent Pfizer-BioNTech COVID-19 vaccine to allow providers to administer a booster to certain young patients. As a result, on March 17, the American Medical […] The post New COVID-19 Code for Bivalent Booster appeared first on AAPC Knowledge Center ..read more
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CMS Corrects Time Thresholds for Prolonged Services
TCI SuperCoder Blog
by Renee Dustman
1y ago
What a difference 15 minutes can make when billing E/M services. The Centers for Medicare & Medicaid Services (CMS) issued a notice March 14 correcting several errors in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. Most notably, CMS is correcting technical errors in the calculations of the time thresholds for reporting evaluation and […] The post CMS Corrects Time Thresholds for Prolonged Services appeared first on AAPC Knowledge Center ..read more
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Overpayments for Definitive Drug Testing Services Cost Medicare Millions
TCI SuperCoder Blog
by Lee Fifield
1y ago
OIG audit finds Medicare could have saved up to $215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain management or substance use disorders. There are two types of drug testing: presumptive and definitive. A presumptive drug test identifies whether drugs […] The post Overpayments for Definitive Drug Testing Services Cost Medicare Millions appeared first on AAPC Knowledge Center ..read more
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