New In 2017: Modifier 95 And Telemedicine Codes

By | 2017, Coding and Auditing, Regulatory Compliance | No Comments
New In 2017: Modifier 95 And Telemedicine Codes There’s a new modifier for telehealth services rendered to patients who are on private insurance rather than Medicare. Modifier 95 (synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system) can be appended to E/M visit codes (99201-99205 for new patients, 99211-99215 for established...
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6 Tips For Complying With Incident-To Rules

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6 Tips For Complying With Incident-To Rules You could improve your patient volume and give your physicians more flexibility by having your non-physician practitioners bill under Medicare’s “incident-to” guidelines. These rules, which some private insurers have also adopted, allow nurse practitioners, physician assistants, and physical and occupational therapists to bill for services under the name...
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MIPS: Explaining Clinical Practice Improvement Activities

By | 2017, Regulatory Compliance | No Comments
MIPS: Explaining Clinical Practice Improvement Activities The first-ever reporting period for the Merit-based Incentive Payment System (MIPS) is now in full swing, but one of the program’s core components remains mysterious. “Clinical improvement activities” or CPIA is one of the four MIPS components, and it may be the most crucial component in 2017. This year...
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9 Top OIG Physician Audit Targets In 2017

By | 2017, Coding and Auditing, Regulatory Compliance | No Comments
9 Top OIG Physician Audit Targets In 2017 By Grant Huang, CPC, CPMA ,Director of Content at DoctorsManagement. Next year, you’ll need to pay particular attention to your Medicare meaningful use attestation data, your providers’ Medicare credentialing, compliance with the “two-midnight” rule, and more, according to an analysis of the 2017 HHS Office of Inspector...
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