Tools, Rules, Other Stuff

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

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  • Which Medicare Diabetes Prevention Program Code Is Worth $168 in 2020? November 14, 2019
    The 2020 payment rates are now available for the Medicare Diabetes Prevention Program (MDPP). Here’s a quick look at the codes, rates, and program resources. Compare 2019 and 2020 MDPP Payments The goal of the MDPP Expanded Model is to prevent Medicare beneficiaries who have an indication of prediabetes from developing diabetes. Below you’ll find […]
  • Highlight E/M, Opioid Use Treatment, PAs, and Single-Disease Care in 2020 MPFS Final Rule November 11, 2019
    Medicare has released the Medicare Physician Fee Schedule (MPFS) for 2020. Let’s see how it stacks up against some of the proposals from Medicare that we looked at back in August. Expect Separate Payment for E/M Office Levels in 2021 Even though we’re still in 2019, a lot of us have 2021 E/M coding changes […]
  • How Do You Code Sinuva Placement for NGS Medicare? Find Out Here November 4, 2019
    A new HCPCS Level II code lets you report the SinuvaTM implant for nasal polyps, but coding for placement may vary based on the encounter. Medicare Administrative Contractor (MAC) National Government Services has some advice for its providers. Here’s what you need to know if you perform coding for otolaryngology. Update HCPCS Coding for Oct. […]
  • Get the Latest Vaping Coding Guidance From ICD-10-CM Official Guidelines October 28, 2019
    You now have authoritative guidance on ICD-10-CM coding for e-cigarette, or vaping, product use associated lung injury (EVALI). One thing you’ll learn: There may be new codes on the way to provide additional detail. Get the Scoop on the New Vaping Guidelines The four Cooperating Parties for ICD-10-CM approved the new vaping coding guidance, with […]
  • Here’s Where to Turn When Coding for Chest Pain October 24, 2019
    A lot of primary care physicians and specialists see patients presenting with chest pain. In many cases, the provider may not be able to confirm a more specific diagnosis for the encounter. To ensure you’re coding this symptom correctly, follow these pointers on ICD-10-CM coding for chest pain. Use Both the Index and Tabular List […]
  • Ob-Gyn Coders, Beware This Costly Modifier 24 Myth October 21, 2019
    Suppose a Medicare patient presents to your ob-gyn practice for a visit scheduled as a follow-up after cervical lesion biopsy, but the doctor also spends time on counseling and coordination of care related to the malignant tumor the biopsy identified. Can you report an E/M with modifier 24 if the visit is during the biopsy’s […]