Tools, Rules, Other Stuff

Click the links below to find resources, regulations, tools.

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  • CCI Modifiers: July 1 Update to Modifier 59 Rule Is Now in Force … and More July 16, 2019
    Modifiers are the key to overriding Correct Coding Initiative (CCI) edits, so let’s give them the attention they deserve. We’ll start with a recent rule update and move on to helpful hints about CCI-associated modifiers in general. Which CCI edits? Our focus here will be Medicare CCI Procedure-to-Procedure (PTP) edits for physicians and practitioners. Do […]
  • Part 3: Cross the ICD-10-CM 2020 Update Finish Line With Chapters 18-21 July 10, 2019
    Feeling energized for the last post in our ICD-10-CM 2020 update blog marathon? Today we’ll wrap up our overview of the main changes in each chapter of the diagnosis code set by covering symptoms, fractures, and more. Read Part 1 for news about Chapters 1-10 and Part 2 for Chapters 11-17. Chapter 18: Pick Up […]
  • Part 2: Tackle ICD-10-CM 2020 Updates for Chapters 11-17 July 8, 2019
    You know the highlights of ICD-10-CM 2020 updates for Chapters 1-10 from our last blog post. Now let’s dig in to some of the big points from Chapters 11-17. We’ll wrap up with Chapters 18-21 in Part 3. Remember: These updates are effective Oct. 1, 2019. Be sure your ICD-10-CM resource has the latest codes […]
  • Part 1: What’s New in ICD-10-CM 2020, Chapters 1-10? July 3, 2019
    ICD-10-CM 2020 is out now so you can prepare to start using the new code set Oct. 1, 2019. The Tabular List addenda PDF is 36 pages long to fit in 273 new reportable codes along with new subcategories, deletions, revisions, and some very important instruction changes. We’ll cover major points from each ICD-10-CM chapter, […]
  • PDPM: Snap Up This ICD-10-CM Knowledge for Your SNF June 17, 2019
    The Patient Driven Payment Model is bringing new importance to the ICD-10-CM code set for SNFs. Here’s where the diagnosis codes will come into play. Get a Quick Overview of the PDPM The Patient Driven Payment Model (PDPM) is a new case-mix classification system that will replace the Resource Utilization Group, Version IV (RUG-IV), effective […]
  • Modifier 51 Hints: Your Go-To Guide for the MPFS Multiple Procedure Column June 13, 2019
    There are nine different Multiple Procedure indicators on the Medicare Physician Fee Schedule (MPFS), meaning there are a lot of payment adjustment possibilities you need to know. Here’s each indicator, an example of a code with that indicator, and a quick look at where modifier 51 comes into play. What Is Modifier 51? The basic […]