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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.
https://immattersacp.org/archives/2011/05/coding.htm
1 May 2011

CMS expands tobacco cessation counseling, focuses on audits

Developments at the Centers for Medicare and Medicaid Services will benefit those who want to quit smoking, but will also increase audit scrutiny over physician and facility claims.
https://immattersacp.org/archives/2010/11/coding.htm
1 Nov 2010

Future claims: Moving toward ICD-10 and new standards

ICD-10 and transactions standards are changing. ACP's practice management staff advise how to stay up-to-date across the entire office as Medicare expands its 13,000 diagnosis codes to more than 68,000.
https://immattersacp.org/archives/2009/07/billing.htm
1 Jul 2009

Annual ICD-9 diagnosis code revisions take effect in October

A review of the annual updates to ICD-9 code set finds that there are more codes affecting internists than in years past. ACP digests these, as well as category headings and exclusion notes.
https://immattersacp.org/archives/2010/10/coding.htm
1 Oct 2010

New year brings big, small changes to practice administration

Three federal regulations create new opportunities and hurdles for physicians, including new reimbursements, Medicare annual wellness visits and a potential uptick in office visits to document over-the-counter drugs for health plans.
https://immattersacp.org/archives/2011/02/coding.htm
1 Feb 2011

CMS proposes some revised requirements for chronic care

It is important for internists to understand and plan for how they could meet the proposed service requirements and take advantage of payment for non-face-to-face chronic care management.
https://immattersacp.org/archives/2014/09/coding.htm
1 Sep 2014

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

Know the rules to avoid common errors, appeal unfair denials

Simple steps within the control of a practice's billing staff can reduce denied claims from private insurance companies. Knowing what types of errors are the most frequent can help staff avoid making them in the first place.
https://immattersacp.org/archives/2010/04/practice.htm
1 Apr 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

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