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School Is In Session…

Z02.0 — Encounter for examination for admission to educational institution Z55.3 — Underachievement in school Y92.157 — Garden or yard of reform school as the place of occurrence of the external cause Y99.8 — Student activity as the external cause status In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10…

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When it’s 90 degrees, everyone’s sweaty…

L75.0 – Bromhidrosis (Body Odor) L75.1 – Chromhidrosis (Colored Sweat) R61 – Excessive Sweating In preparation for the upcoming deadline for ICD-10 implementation, RT Welter presents weekly ICD-10 Codes of the Week! Our goal is to familiarize you with the new and expanded code set and the additional clinical documentation needed from your providers to…

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Patient Eligibility

“Eligibility” is not what it once was! Commercial health plans have HMO’s and PPO’s and various other plan types, they also have various products within those categories, and just to make it more complicated some plans have plans within the plan specific to a given employer or group’s requirement. The Affordable Care Act has added…

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Notice of Material Change

Seems to be the Season for the Notice of Material Change! The health plans are required to send out a NOMC anytime there is a change that may affect provider compensation.  Times, must be a changing, as we are seeing an unprecedented number of NOMC notices. Managed care contracting is, increasingly, more about strategy than…

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