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2019 CPT Changes

Written By: Toni Elhoms, CCS, CRC, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer Director of Coding/Compliance It’s that time of the year again! The new 2019 CPT code changes took effect January 1st. Understanding the myriad of upcoming changes is crucial to obtaining the proper reimbursement for your services! The changes for 2019 address a number of interrelated…

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How to Partner with Physicians on the Journey to Value

To successfully transition to value-based care, health systems must engage their physicians in the process. Figuring out the best way to engage physicians, however, is often one of the toughest challenges for organizations as they move from traditional fee for-service (FFS) models to models based on the efficient delivery of high-quality care. Physicians drive the…

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CMS 2019 Rules — Changes to the Fee Schedule

Changes to the 2019 PFS include the following: Elimination of the requirement to document the medical necessity of a home visit in lieu of an office visit. For established patients, when relevant information is already in the medical record, practitioners can focus documentation on what has changed since the last visit. Practitioners don’t need to…

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CMS Finalizes 2019 Rules

CMS has issued its final 2019 rule for both the Physician Fee Schedule (PFS) and the Quality Payment Program (QPP), which includes the Merit-based Incentive Payment System (MIPS). “Today’s rule finalizes dramatic improvements for clinicians and patients and reflects extensive input from the medical community,” CMS Administrator Seema Verma said in a statement. “Today’s rule…

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