Thursday, September 4, 2014

Coding Made Simple




Coding Made Simple

 

FSY 2015 is around the corner, and with the New Year comes changes.

The new year will bring in new regulations , HEDIS 2015 , PQRS 2015, the implementation of ICD-10, and other changes: 

Beginning next year, primary care physicians and others could begin billing separately for chronic care management (CCM) services if the Physician Fee Schedule (PFS) proposed by the Centers for Medicare and Medicaid Services (CMS) is adopted 

Telehealth services CMS proposes to cover under Medicare include: 

·        annual wellness visits,
·        psychoanalysis,
·        psychotherapy, and
·        prolonged evaluation and management services

 

Regarding the Sunshine Act, CMS is proposing, among other changes, to begin requiring disclosure of payments drug and medical device manufacturers make to speakers at certain continuing medical education (CME) events. CME events previously had been exempted from Sunshine Act reporting requirements. Eliminating the exemption “will create a more consistent reporting requirement, and will also be more consistent for consumers who will ultimately have access to the reported data,” according to CMS.

 

CPT 2015 Anticipated Code Changes

In 2015, many CPT code changes will take effect. For example: 

A number of new radiology and radiation oncology codes will be created in 2015. A total of 22 of the 35 new codes are the result of bundling requests from the AMA’s Relativity Assessment Workgroup (RAW). The purpose of the RAW is to identify potentially misvalued services. The current screens used by the RAW are: codes frequently performed together, fastest growing, CMS/Other time source and services previously flagged as new technology 

How does one prepare for these changes ?  AccuChecker
AccuChecker is The Complete Tool for today’s Medical Reimbursement 



 

Providers want accurate reimbursement.

Payers want efficient claims processing. 

The time to prepare is NOW!
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