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    JustCoding Outpatient

    Healthcare News: CMS considers site-neutral reimbursement policies in 2019 OPPS proposed rule

    August 1, 2018
    CMS’ 2019 OPPS proposed rule continues the agency’s efforts to enforce site-neutral payments and reduce drug payments by introducing policies to reduce reimbursement for hospital outpatient clinic visits at off-campus, provider-based departments (PBD) and expanding last year’s payment reductions for drugs purchased under the 340B discount pricing program by nonexcepted PBDs.
    JustCoding Outpatient

    CMS responds to denials related to physician orders and signatures

    August 1, 2018
    A common error and audit finding affecting providers is the lack of a physician order or physician signatures on medical documentation. Kimberly A. H. Baker, JD, CPC , reviews CMS guidance for physician signatures on medical documentation.
    JustCoding Outpatient

    Q&A: CPT coding for the management of time-consuming radiation procedures

    August 1, 2018
    Q: When is it appropriate to bill CPT code 77470 (special treatment procedure [e.g. total body irradiation, hemibody radiation, per oral or endocavitary irradiation]) for a special treatment procedure?
    JustCoding Outpatient

    2019 MPFS proposed rule: CMS addresses E/M subjectivity by simplifying code processes

    August 1, 2018
    The 2019 Medicare Physician Fee Schedule (MPFS) proposed rule includes significant potential updates to E/M coding and reporting. Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS , reviews the proposed changes and their potential impact on coding and billing for office visits and other outpatient services in 2019.
    JustCoding Outpatient

    On the outside looking in: Ocular anatomy and coding for retinal repairs, corneal diseases

    August 1, 2018
    ICD-10-CM and CPT coding for glaucoma and retinal detachment requires a detailed understanding of coding guidelines as well as ocular anatomy and terminology. Explore the anatomy of the eye and review coding guidance for conditions that affect our view of the outside world. Note : To access this article, you must first register here if you do not have a paid subscription.
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