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Answering questions about coding for ACA-mandated services

ACP's practice management staff answers questions about coverage of and coding for preventive services mandated by the Affordable Care Act.
https://immattersacp.org/archives/2014/03/coding.htm
1 Mar 2014

ACP disputes federal valuation of primary care observation codes

ACP disputes the relative values assigned to observation care codes, believing that they do not fully account for the physician work involved in providing the services. But CMS finalized the relative values at the disputed levels. ACP advocacy and members' input is critical to helping improve internal medicine physicians' recognition for the care they provide.
https://immattersacp.org/archives/2011/09/coding.htm
1 Sep 2011

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.
https://immattersacp.org/archives/2010/07/practice.htm
1 Jul 2010

Coding for anticoagulation as tricky as managing it

Diagnosis, lab tests and management make up the three key considerations when coding for anticoagulation management through Medicare. An expert sorts out the issues and scenarios for a variety of scenarios.
https://immattersacp.org/archives/2010/05/practice.htm
1 May 2010

Hospitals work with admitting doctors on documentation

Hospitals are working more closely with their admitting physicians to make them aware of the need for better documentation on pre-existing conditions.
https://immattersacp.org/archives/2008/10/practicerx.htm
1 Oct 2008

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

Update ICD-9 coding materials now to meet October deadline

Every summer, the CDC's National Center for Health Statistics announces changes to the ICD-9-CM and the new codes go into effect Oct. 1.
https://immattersacp.org/archives/2008/09/coding.htm
1 Sep 2008

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 about potential auditors to avoid becoming a target

Four programs overlook a practice's billing and coding efforts, and each has its areas of emphasis. There are seven simple steps to follow that will help a practice avoid incurring an audit.
https://immattersacp.org/archives/2011/10/coding.htm
1 Oct 2011

System-wide changes improve diabetes care

To improve metrics of diabetes care, 4 employed primary care practices at a health system in Texas worked to systematically improve HbA1c testing and started a “Saving Toes” campaign.
https://immattersacp.org/archives/2016/09/success.htm
1 Sep 2016

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