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Effective for claims with dates of service on or after Oct. 1, 2017, UnitedHealthcare will reimburse the appropriate evaluation and management (E/M) procedure code which describes the office visit, hospital care, nursing facility care, home service or domiciliary/rest home care reported in lieu of a consultation services procedure code. This notification will be the first…
DetailsRT Welter & Associates is excited to present our monthly Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders. M48.062 – Spinal Stenosis, lumbar region, with neurogenic claudication The list of ICD-10 code updates is…
DetailsAs part of the new coding format for our newsletter, RT Welter is excited to offer you a new surgery coding series in which we want to help you! The 2nd week of every month we will highlight a complicated surgical case. This week we are highlighting a general surgery case. We want to hear…
DetailsAs a result of the many provisions of the Affordable Care Act (ACA), the CMS Innovation Center (CMMI) was created to promote quality healthcare, stronger health outcomes, and encourage fiscal responsibility. CMMI acts as the facilitator for designing the most efficient payment methodology for reimbursing healthcare providers based on value rather than volume. CMMI also…
DetailsBiomechanical Device Coding: Spine surgery has been one of the specialties hardest hit by recent CPT code bundling, NCCI edit updates, code revisions and additions, and RVU decreases. Most recently, biomechanical device coding changes were implemented, which impacts many spine surgery practice’s bottom lines. This change essentially states that all anterior instrumentation is now bundled…
DetailsCMS released a proposed rule earlier this month that could cancel two bundled payment programs, and significantly limit a third. Two bundled payment programs could be canceled before they begin, and the scope of a third will be significantly limited if a proposed rule released by CMS August 17 is finalized. The agency proposes cancellation…
DetailsRT Welter & Associates is excited to present our helpful career advancing tips and strategies to sharpen the skills prospective employers look for in a coder! Teamwork – Ever heard of the expression – “Team Work Makes the Dream Work”? This idea serves as the foundation for many successful movements, companies and organizations. One person…
DetailsThe Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is leading to changes in the realm of clinical and operational demands in health care. Read more, below, to learn about balancing reporting requirements while simultaneously ensuring optimum patient care. Concerns over the cost of health care and apparent lower health outcomes in the United…
DetailsRT Welter & Associates is excited to present our monthly Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders. ICD-10 Code – E11.65 – Type 2 Diabetes Mellitus with Hyperglycemia ICD-10 code E11.65 represents the…
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