Saturday, February 13, 2021

Looking for an MRA Coding Tool?

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2021 CMS-HCC Coding Tool Example We have received several requests from physicians, coders and administrators for an “MRA Cheat Sheet”. Many...
2 comments:
Sunday, January 24, 2021

Advanced Risk Adjustment and HCC Coding for Value Based Payments

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Due to extremely high demand, new dates have been added for the 2021 workshops! KEY TOPICS INCLUDE: Vast changes are coming to Medicare ...
Saturday, January 9, 2021

Medicare Risk Adjustment Operations

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  APPROVED by the AAPC for 5 CEUs Course Overview Medicare Advantage (MA) is one of the fastest-growing and most complex health plan lines o...
1 comment:
Friday, January 8, 2021

MIPS Extreme and Uncontrollable Circumstances Exception Application Deadline Extended to February 1, 2021

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For the 2020 performance year, MIPS eligible clinicians, groups, and virtual groups can  submit an application  to the Centers for Medicare ...
1 comment:
Saturday, November 21, 2020

Let’s Talk About Risk On-Demand

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  Let’s Talk About Risk On-Demand Join us on-demand for this event recorded 11/11/2020. The presentation is an introduction to risk adjust...
1 comment:

Advanced Risk Management and HCC Coding ON-DEMAND

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  Advanced Risk Management and HCC Coding for Value Based Payments On-Demand Join us on-demand for this event recorded on 11/13/2020. This...
1 comment:
Thursday, October 22, 2020

HHS Extends COVID-19 Related Public Health Emergency Through January 20, 2021

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On October 2, 2020, Health and Human Services (HHS) Secretary, Alex M. Azar II,  announced  the renewal of the public health emergency decla...
Tuesday, October 20, 2020

CMS Proposes a Regulatory Definition of Medically "Reasonable and Necessary"

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It has taken CMS more than 50 years, but the agency has finally   proposed   a regulatory definition for determining whether an item or serv...
1 comment:
Friday, September 25, 2020

2021 ICD-10 Updates

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  Effective Dates The 2021 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2021. These 2021 ICD-10-CM codes are to...
Wednesday, September 23, 2020

Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations

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  09-16-2020 | A-07-17-01176 |  Complete Report  |  Report in Brief Why OIG Did This Audit This audit involved individuals eligible for Medi...
Saturday, September 12, 2020

Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on Health Risk Assessments Raise Concerns

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  Key Takeaways: Billions in estimated risk-adjusted payments supported solely though HRA’s raise concerns about the completeness of payment...
Monday, August 31, 2020

George Franklin Smith M.D.

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  1948 - 2020 George Franklin Smith, M.D., 71, passed away on August 25, 2020 in Austin, Texas. He was born November 25, 1948 in San Augusti...