Billing for Chronic Care Management

** UPDATE FOR 2017 ** An estimated 117 million adults have one or more chronic health conditions, and one in four adults have two or more chronic health conditions. Chronic disease is prevalent among Medicare beneficiaries, with most beneficiaries having multiple chronic conditions, which increases the risk for poor health outcomes such as mortality and […]

Flu Shots for the 2016-2017 Season

The CDC recommends trivalent and quadrivalent flu vaccines for 2016-2017. There are different flu shots based upon different age groups as well. Trivalent Flu Vaccines The trivalent vaccine is a three component vaccine. The trivalent flu vaccine is a three-component flu vaccine. This vaccine can come as a standard-dose trivalent shot (IIV3), high-dose trivalent shot […]

MACRA – Final Rule

Medicare Physician Billing Services for Raleigh, NC & West Palm Beach, FL Breaking: Medicare finalizes sweeping changes to physician payments Today, the Centers for Medicare & Medicaid Services (CMS) released the highly-anticipated final rule implementing the Medicare physician payment reforms enacted as part of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). With […]

ICD-10-CM Diabetes Mellitus Coding

The documentation of diabetes mellitus has made the classification and diagnosis of the disease easier. Diabetes mellitus is classified using these codes: [1] E08 Diabetes mellitus due to underlying condition: The underlying conditions can be:[1] Congenital rubella Cushing’s syndrome Cystic fibrosis Malignant neoplasm Malnutrition Pancreatitis and other diseases of the pancreas E09 Drug or chemical […]

ICD-10 FACTS

The Centers for Medicare & Medicaid Services (CMS) recently published some facts about ICD-10 intended to dispel myths and address common questions about the upcoming transition: The ICD-10 transition date is October 1, 2015 – The government, payers, and large providers alike have made a substantial investment in ICD-10. This cost will rise if the […]

Medicare News!! SGR Repealed, 21% Cut Averted

On Tuesday, April 14th, the Senate voted to approve the Medicare Access and CHIP Reauthorization Act, H.R. 2. This legislation, which passed the House of Representatives on March 26, permanently repeals the Medicare Sustainable Growth Rate (SGR) formula. President Obama will sign the bill into law. In addition to SGR repeal, the law includes three […]