MIPS: Time’s Up for 90-Day Participation

Physician practices may begin data collection as late as December 31 and still avoid the negative payment adjustment. October 2, 2017, marked practices’ deadline to begin collecting data for the Centers for Medicare & Medicaid Services’ (CMS) “pick your pace” option two under the merit-based incentive-payment system (MIPS) track of the Medicare Access and CHIP…

2018 ICD-10 Updates

2018 ICD-10 Updates

2018 ICD-10 updates will soon go into effect on October 1st. These changes will impact encounters for dates of service October 1, 2017 through September 30, 2018. It is imperative that your organization has up-to-date coding resources and a keen understanding of the changes that will impact your reimbursement! This year’s ICD-10 updates include 363…

UHC No Longer Reimbursing for Consult Codes

UHC No Longer Reimbursing for Consult Codes

Effective for claims with dates of service on or after Oct. 1, 2017, UnitedHealthcare will reimburse the appropriate evaluation and management (E/M) procedure code which describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care reported in lieu of a consultation services procedure code. This notification will be the first…

Code Spotlight — ICD-10 Code I16

Code Spotlight — M48.062 Spinal Stenosis Lumbar Region with Neurogenic Claudication

RT Welter & Associates is excited to present our monthly Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders. M48.062 – Spinal Stenosis, lumbar region, with neurogenic claudication The list of ICD-10 code updates is…