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Contributor: Agility Required to Keep Pace With Code Changes During Pandemic

By Andria Jacobs, RN, MS, CEN, CPHQ for AJMC Andria Jacobs, RN, MS, CEN, CPHQ, chief operating officer for PCG Software, discusses 3 billing and claims issues facing the health care industry in the wake of the COVID-19 pandemic. Rightfully so, the coronavirus pandemic has shone the spotlight on front-line medical professionals who continue to…

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Code changes coming for evaluation and management visits: 4 things to know

Morgan Haefner for Becker’s Hospital Review In its proposed Physician Fee Schedule for 2021, CMS outlined changes to how office and outpatient evaluation and management visits will be coded. Four things to know: 1. CMS proposed a refinement to clarify the times when prolonged office and outpatient E/M visits can be reported. The department proposed revaluing…

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11 CPT codes take effect for ASCs

By Angie Stewart for Becker’s Hospital Review CMS published 11 Current Procedural Terminology Category III codes that took effect July 1 in the ASC payment system. The agency also made updated payment rates available for download. The new codes: 0594T. Humerus osteotomy with insertion of an externally controlled intramedullary lengthening device, including intraoperative imaging, initial and subsequent alignment assessments,…

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Dolbey Launches Educational Webinar Series Offering AHIMA Approved CEUs

CONCORD, Ohio, July 9, 2020 (Newswire.com) – Dolbey is a leading provider of medical coding and billing software that drives greater accuracy and high productivity in medical coding by using Artificial Intelligence and Machine Learning. KLAS Research has awarded Dolbey the Category Leader designation for Computer-Assisted Coding for four straight years. Prior to COVID-19, the…

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3 most common primary care billing codes haven’t changed in recent months

Morgan Haefner for Becker’s Hospital Review From January to April, the three most common primary care services didn’t change, even during the COVID-19 pandemic, according to Fair Health, a healthcare cost data organization. Here are the three most common primary care billing codes, and their ranking, for January through April 2020: Office outpatient visit, 15 minutes…

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CMS releases FY 2021 ICD-10-PCS code set and official guidelines

By Revenue Cycle Advisor CMS recently released the fiscal year (FY) 2021 ICD-10-PCS code set, which includes 544 new codes for Fragmentations of the veins and arteries, Drainages of the pelvic cavity, and Imaging of various organs. It also released the FY 2021 ICD-10-PCS Official Guidelines for Coding and Reporting. The new ICD-10-PCS code set take effect…

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Guest post: Coding and documentation challenges related to syncope

By Alba Kuqi, MD, CICA, CCS, CDIP, CCDS, CRCR, CSMC for ACDIS CDI Blog Codes for symptoms, signs, and ill-defined conditions from Chapter 18 of the ICD-10-CM coding manual cannot be used as principal diagnosis or reasons for outpatient encounters when related diagnosis has been established, they may be assigned as an additional diagnosis. Examples…

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