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The Trump Administration has released their healthcare spending proposal for FY21. These plans are said to foster cost transparency, break down barriers impeding choice and competition, and reduce regulatory burdens. Read the article below to learn more about the Trump Administrations hospital spending plans for FY21. Hospitals cuts proposed in the FY21 budget include $117 billion…
DetailsIn a recent release of 2018 benchmarks regarding modifiers 76, 77 and 79, the data of payment vs denials is staggering. For instance, a total of 159 codes reported with 91 and 249 codes that were reported using modifier 77 all had a 100% denial rate. Compared to the 952 codes that were denied when…
Details2021 brings us monumental changes to Evaluation and Management coding and reporting! Notable changes will include: Deletion of CPT code 99201, new time reporting guidelines and modifications to criteria for medical decision-making. The new guidance also includes a revision to the work relative value units (RVU) for E/M office visits to match up with the…
DetailsAs Risk Adjustment (RA) and Hierarchical Condition Category (HCC) coding continue to grow and become common practice it is important for not just coders, but also our clinicians to recognize its importance and the effect it has on reimbursement. Below is an example of a procedure and notes regarding coding and why our clinician must…
DetailsDuring the State of the Union address, President Trump discussed the price transparency rule and slammed Medicare for all. Below are some of the main points President Trump made during the speech which included drug pricing plans, association health plans, and more. Read below for more information! President Donald Trump delivered his third State of…
DetailsIn the January 23rd edition of the MLN Connects, CMS announced the release of a Comparative Billing Report (CBR) on Shoulder Arthroscopies for Medicare part B claims. This information can be vital for Orthopedic practices during the audit process. Data will be compared based on other providers in your state as well as nationwide. However,…
DetailsRecently, there has been a new healthcare scorecard that is evaluating the cost-saving policies in Colorado. Read the article below to see where Colorado ranks and what the state is doing to make healthcare more affordable to those living here! Colorado is doing well to make out-of-pocket healthcare costs affordable and transparent but does not…
DetailsThe New Year always brings opportunities to grow and learn. While many find it difficult to be healthy in the workplace there are simple steps to take to achieve a healthier lifestyle. Below are six great tips on building healthy habits at work. Read the article below to find out 6 ways you can build…
DetailsMedicare, the Affordable Care Act, and other issues are all hot topics being discussed in 2020. Below is more information regarding some of the big topics that are in talks right now or are in the process of change. Read the article below for more information on some of these medical issues. It’s 2020 and…
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