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ICD 10 October 1, 2018 Changes

As of October 1, 2018, 365 new ICD10 2019 codes have been released. Any encounter on or after October 1, will automatically use the new codes. Visits prior to October 1, will use the 2018 version. Link to 365 new codes: https://www.icd10data.com/ICD10CM/Codes/Changes/New_Codes Link to 172 changed codes: https://www.icd10data.com/ICD10CM/Codes/Changes/Revised_Codes

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Medicare DME Prior Authorization Required

Effective September 1, 2018, Medicare will require Prior Authorization for DME, Prosthetics, Orthotics, and Supplies (DMEPOS) items. Please review page 3 in the attached link: https://www.federalregister.gov/documents/2018/06/05/2018-11953/medicare-program-update-to-the-required-prior-authorization-list-of-durable-medical-equipment Codes K0856 and K0861 will also continue to require prior approval.

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Send Statements Electronically and Get Paid Online – Increase Cash Flow!

On average it takes 3 statements mailed to patients to get paid. With the average cost of postage and paper, mailing 3 statements could cost as much as $2.10 per patient. If you are mailing 500 statements a month that is $350 a month or $4,200 a year. That is just crazy! Solution – Text-a-Statement With our advanced Text-a-Statement, patients are texted or emailed a link asking them to pay. When they click the link, they are asked to…

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New Medicare Card Transition Begins April 1

CMS will begin mailing new Medicare cards with the Medicare Beneficiary Identifier (MBI) on April 1. Start using the MBI as soon as your patients get their new cards. The MBI on the new card is effective immediately unless the patient is new to Medicare, in which case refer to the “coverage starts” date on the card. People new to Medicare will only have a Medicare card with an MBI. How can I get the MBI? From your patient’s new Medicare card:…

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Health Risk Assessment Codes

Two new CPT codes may be used to report health risk assessments: 96160, “Administration of patient-focused health risk assessment instrument (e.g., health hazard appraisal) with scoring and documentation, per standardized instrument,” 96161, “Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrument.” You may bill this service if the instrument was administered and scored in a diagnostic setting in conjunction with an office visit. You should…

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ICD10 2018 Starts 10/1/2017

On October 1, 2017, there are new ICD10 codes and old ones will be deleted. Any encounter prior to October 1, 2017, will use the 2017 edition. Here are some of the changes: Starting Oct. 1, it will be possible to select a specific ICD-10-CM code when a patient is in remission from abuse of each of a variety of substances, including alcohol, opioids, cannabis and nicotine. Those nine new codes are among 360 new, 142 deleted, and 226…

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MACRA in 2017

MACRA in 2017 will add new incentives for providers based on use of a certified EHR, submitting quality measures, and meeting of quality and cost control measures. https://qpp.cms.gov/education  

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