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Although the exact reason for denial was not given for this encounter we know this is considered investigational. Most insurances will not pay, it would have to be unlisted-23929. Click below for more information! As a general rule, benefits are payable under Blue Cross and Blue Shield of Alabama health plans only in cases of…
DetailsState healthcare officials have until November 15 to put together a final “state option” proposal for the legislature. Many are hoping new changes will be implemented due to the rise in healthcare costs. Read the article below to find out more on what legislation may be coming and what the concerns are with this program.…
DetailsRT Welter is providing new information regarding E/M changes in 2020. Read the updates below on what is coming next year for coding, along with changes to PCM and CCM. What’s New for 2020 The CY 2020 PFS conversion factor will increase to $36.0896, up to $0.05 from CY 2019. Three new Telehealth Service codes…
DetailsCMS’ Innovation Center will delay the start of a new payment model called Primary Care First by a year, according to timeline updates on the model’s information page. Primary Care First, announced in April, was slated to begin in January 2020. Now, it will begin in January 2021. The voluntary model is a set of five-year payment…
Details2019 ICD‐10‐CM updates went into effect on October 1st. These changes will impact encounters for dates of service October 1, 2019 through September 30, 2020. It is imperative that your organization has up‐to‐date coding resources and a keen understanding of the changes that will impact your reimbursement! The new updates can also influence your organization’s…
DetailsReactive Hypoglycemia (ICD-10 code E16.1) or a sugar crash can do more than just make you tired. It can lead to feeling of hunger, irritability, anxiousness, headaches or even difficulty concentrating. With Halloween just around the corner, it seems there is a candy dish stocked full of treats everywhere you turn. It’s not just about…
DetailsWith the development of the health insurance exchange, prices for coverage for those in Colorado are going to drop. This will give families an average of $600-$700, back in their pockets. Read the article below to see when and how this new change will take place. For the first time since Colorado opened its health…
DetailsIn this code spotlight, RT Welter is providing new information regarding ICM Coding. Read below to find out more information on Insertable Cardiac Monitor codes! One of the hardest parts of coding is the revolving door of code changes. 2019 saw a change to Insertable Cardiac Monitors or ICM. Codes 33282 and 33284 were deleted…
DetailsFor 2019, the U.S. is projected to have spent $3.82 trillion on healthcare. No other country in the world spends this much on healthcare. Below we assess the data and see what the research is saying regarding healthcare prices in the United States. Continue reading to find out more on this wasteful spending. Waste accounts…
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