Take the challenge. Answer: This is a two-part office visit scenario. The first part of the scenario illustrates the original new patient office visit, and the second portion is for the follow-up, interprofessional telephone consultation with the patient’s ophthalmologist. For the office visit … CPT: 99203 ICD-10: B30.8, M45.5, I73.00 The history was detailed, because…
Coding Corner Question: Interprofessional Consultations
A 68-year-old patient reports that her eyes have been itchy and red for approximately one month. She was treated with erythromycin gel on Jan. 10; while the itching did not stop, the redness resolved. She denies any matting and has not used any other type of eye drops. She states there has been no change…
4 Steps to Prevent Unnecessary Claims Denials
Denied claims represent unpaid services, or lost or delayed revenue. Avoiding claims denials is the responsibility of everyone in a practice. Any deficiency on a focused strategy for denials management will have unfavorable resolutions to denials or lead to writing off the service without payment. With the changing landscape in practice management, the best route…
The Training Rheum Helps Practices Quickly Onboard NPs & PAs
Has your practice recently hired a nurse practitioner (NP) or physician’s assistant (PA) to help provide care to a growing patient population? Are you considering hiring, but unsure if you have the time or resources to adequately train someone new to the specialty? The Training Rheum is designed to give your professional staff a solid…
The ACR & ARP Fight Step Therapy on Capitol Hill
Step therapy (or fail first) policies introduce significant barriers to access to effective treatments for patients with rheumatic diseases. They also impose significant administrative and cost burdens on providers and practices. The ACR and ARP are advocating state governments, Congress and regulatory agencies limit the impact of these policies on access to care by creating…
The Rheumatology Research Foundation Announces Award Recipients
On July 1, 2019, the Foundation awarded more than 80 grants to a wide range of rheumatology trainees, professionals and institutions. The recipients will receive funding for essential training and career development, as well as for innovative research projects. Their applications were closely examined by experts in different areas of the field to ensure awards…
Tap the ACR/ARP’s Practice Management Resources
The ACR/ARP’s practice management division actively works to offer rheumatologists and their staff valuable, accessible resources to address practice issues. Our trained professionals provide the most up-to-date tools and resources to help improve practice efficiency and meet the myriad compliance obligations of the ever-changing healthcare landscape. The Practice Management Resource Center can assist with such…
CMS Now Conducting 2017 & 2018 MIPS Data Validation Audit
CMS has begun data validation and audit for 2017 and 2018 MIPS performance years. Providers/practices selected for the audit will be notified via certified mail or email and will have 45 days from the date of notice to provide the requested information. For more information regarding the data validation criteria, visit the CMS Resource Library….
Access 2020 Campaign Update
We are nearing the halfway point of 2019 and are one-quarter of the way through the ACR’s recently launched Access 2020 campaign, an advocacy campaign to increase ACR/ARP access to decision makers and the rulemaking process through RheumPAC by raising $300,000 and increasing the number of ACR/ARP members who contribute to 900. Progress Report So…
Navigating a Path to Success: Practice Management at 2019 ACR/ARP Annual Meeting
Join us in Atlanta Nov. 8–13 for the 2019 ACR/ARP Annual Meeting. Member registration is now open, including registration for the annual pre-meeting practice management workshop: Practice Matters—Navigating a Path to Success! (General registration opens June 26.) The 2019 workshop will focus on key practice matters. The goal of the pre-meeting workshop is to address…
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