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Tom Price, MD. Trump’s Incoming Secretary of HHS

Tom Price’s Vision – Commercial & Individual Encourage Private Exchanges for purchase of individualized products across state lines Create federal Grants for States to create high-risk pools Eliminate individual Mandate Comprehensive Medical Liability Reform allowing conformity to clinical guidelines to serve as an affirmative defense to liability Claims Transparency from insurers to employers and individuals…

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2017 CPT Code Changes

Written By: Toni Elhoms, CCS, CPC, AHIMA-Approved ICD-10-CM/PCS Trainer Director of Coding/Compliance Consulting Services It’s that time of the year again! The new 2017 CPT code changes take effect January 1st. Understanding the myriad of upcoming changes is crucial to obtaining the proper reimbursement for your services! The changes for 2017 address a number of…

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2017 CPT Code Changes: Moderate Sedation

Moderate sedation services have historically always been bundled into the majority of all applicable CPT procedures. More than 400 codes that were previously defined as including moderate sedation have been deleted from Appendix G. In addition to six new CPT codes and one new endoscopy-specific HCPCS code, CMS intends to create a “uniform methodology for…

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2017 CPT Code Changes: Spinal Instrumentation

Several new codes will replace long time spinal biomechanical device code 22851. The new codes are more specific regarding the type and location of the biomechanical devices. 22853 – Insertion of interbody biomechanical device(s) (eg, synthetic cage, mesh) with integral anterior instrumentation for device anchoring (eg, screws, flanges), when performed, to intervertebral disc space in…

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2017 CPT Code Changes: Flu Vaccinations

Influenza codes received a makeover with this year’s CPT update. The codes are no longer classified based on age. The descriptions of these codes now reflect dosage amounts. Codes now state “becomes 0.25 mL dosage” in place of “when administered to children 6-35 months of age” and “becomes 0.5 mL dosage” in place of “when…

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2017 CPT Code Changes Spinal Steroid: Epidural Injections

There are 8 new CPT codes to reflect epidural spinal injections. These new codes are classified by both anatomy and whether imaging guidance was used and replace codes 62310 – 62319. 62320 – Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement,…

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