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ABN Use Extension

The Advance Beneficiary Notice of Noncoverage (ABN) is widely used to help out those who will be denied Medicare payments. The renewal deadline has recently been extended as a result of the COVID-19 pandemic. Here you’ll find more information regarding the details of the ABN use extension. Due to COVID-19 concerns, CMS is going to expand…

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Spinal Decompression

The report below describes a patient undergoing spinal surgery. The entire procedure has been documented in detail, describing the step by step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs help with coding? RT Welter…

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Proposal to Expand Telehealth Benefits Permanently for Medicare Beneficiaries

CMS proposed changes to expand telehealth which would improve healthcare in rural areas. The proposal will also ensure proper reimbursement times and other important changes. Read the article below for more information on this important update. Trump Administration Proposes to Expand Telehealth Benefits Permanently for Medicare Beneficiaries Beyond the COVID-19 Public Health Emergency and Advances…

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Medical Necessity in E/M

As we move closer to 2021 and our new E/M guidelines, now is the perfect time to educate our clinicians on the importance of documenting their encounters to include medical necessity. In the January 2020 issue of CMS MLN on Evaluation & Management under the General Principles of E/M Documentation, we see this guidance; Clear…

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7 Things to Consider with New Telehealth Legislation Proposed

Last week, members of the House of Representatives Telehealth Caucus introduced the bipartisan Protecting Access to Post-COVID-19 Telehealth Act. Check out the article below for 7 things to consider with this new Telehealth legislation.  The legislation “seeks to expand the use of telehealth beyond the current national health crisis, including permanently eliminating obsolete geographic originating…

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Stay Hydrated During These Hot Summer Months

We have all seen water bottles with times listed on the sides reminding you to continue drinking water throughout the day. As you spend time outside this summer and temperatures continue to increase, staying hydrated is just as important as wearing your sunscreen. Do you know the warning signs that you are dehydrated? Spend just…

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2021 ICD-10-CM Updates

For the upcoming year, the FY 2021 ICD-10-CM Official Guidelines have made over 500 significant changes. These updates, set to take effect on October 1, 2020, include 490 new codes, 47 revised codes, and 58 codes deemed invalid. The upcoming changes are some of the biggest yet, as they address hundreds of new policies. See RT Welter’s…

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Annual Preventive Visit w/ Illness Not Supported

Comprehensive, age-appropriate HPI & Exam support 99396 for preventive reevaluation & management of 1 established chronic problem. OMM of 1 body area is performed supporting code 98925. Questionable use of dx code Z12.4. Consider Z01.419 or Z00.00. Unsupported 99213, documentation does not support a separately identifiable E/M illness code. Possible use of code Q0091 for…

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