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MIPS
Logging your Improvement Activities in Registry Clearinghouse
Part of the MIPS program is improvement activities. There are two weights of improvement activities High and Medium. High weight activities are worth 20 points and Medium Weight activities are worth 10 points.
There is a special bonus for small practices, the value of the improvement activities is doubled for small practices. For a small practice High weight activities are worth 40 points and Medium Weight activities are worth 20 points. A small practice is practice with 15 individual NPI numbers in the same Tax ID.
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Coding
E/M Coding
“A new patient was seen with heel pain. X-rays were taken at an outside facility, and I independently interpreted these and reviewed the labs. Based on medical decision making, I believe I should be coding CPT 99204. The patient had one new, acute problem (previously undiagnosed) and I independently interpreted tests. To me this is a no brainer, but my office staff argues that they believe it should be CPT 99203. Thoughts?"
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HIPAA
HIPAA News Roundup - Week of August 20, 2024
A roundup of todays HIPAA related news demonstrates that foreign actors such as North Korea and Iran are attacking the US with the latest news having an attack against healthcare and an attack against our political system.
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MIPS
Promoting Interoperability: Numerators and Denominators
One of the aspects to score on Promoting Interoperability is Numerators and Denominators. There are five components to Numerators and Denominators: E-prescribing, Provide Patients Electronic Access to Their Health Information, Support Electronic Referral Loops by Receiving and Reconciling Health Information, Support Electronic Referral Loops by Sending Health Information and Bidirectional Health Exchange.
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Coding
Wound Care Coding: Multiple Skin Substitutes
“My billing team and I have a difference of opinion. If we apply more than one graft, they have been using modifier -76. It is getting paid, but I am not sure that is the appropriate use of the modifier. I just assumed we bill for total units. However, each graft has a unit number. So, if we bill double the units, we need a way to alert the insurance company as to why the units are doubled. This is why we started using the 76 Modifier. Any input would be appreciated.”
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FDA Recalls