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An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

From the College

CMS Implements Part B Modifiers for Biosimilars

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With the advent of biosimilars to the marketplace, the Centers for Medicare and Medicaid Services (CMS) now requires modifiers to identify the manufacturer of a biosimilar/biological product on Part B claims. Modifiers were put in place to provide the CMS with the necessary data needed to track claims payments, as well as the ability to…

Rheumatology Coding Corner Answer: New Patient Prolonged Service Without Direct Patient Contact, Part 1

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Take the Challenge. ICD-10 Codes R76.1—Raised antibody titer L20.8—Other atopic dermatitis R20.2—Paresthesia of skin R20.1—Hypoesthesia of skin CPT Codes 99358 and 99359 Rationale The Centers for Medicare & Medicaid Services (CMS) typically does not allow separate payment for physician services that do not require face-to-face time with a patient, but as of Jan. 1, 2017,…

Clinical Thought Process for Proper Medical Decision Making, Part 2

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In Part 1 of this series, we covered the vital role of medical decision making in determining the final level to bill for a patient encounter. Medical decision making is the key component in coding because it reflects the intensity of the provider’s cognitive labor. This implies that there’s an unseen component involved in the…

RheumPAC: Answers to FAQs

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What is RheumPAC? RheumPAC is the ACR’s nonpartisan political action committee (PAC) that works to elect and support pro-rheumatology candidates. It is the only PAC dedicated to the interests of the rheumatology profession. RheumPAC was created 10 years ago with the mission of educating, electing and supporting federal lawmakers who understand and can positively address…

RISE Registry Report to be Published in The Rheumatologist

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The Rheumatology Informatics System for Effectiveness (RISE) Registry is the ACR’s registry for quality improvement and reporting. Aggregated statistics and trends seen in the RISE Registry will be published monthly in The Rheumatologist. If you have questions about quality reporting, are interested in enrolling in RISE or would like to use data from RISE for…

2017 ACR/ARHP Annual Meeting Highlights

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Your gateway to global rheumatology education! Join us in San Diego for the 2017 ACR/ARHP Annual Meeting on Nov. 3–8. The advance registration deadline is Oct. 18. Register and get more information on all Annual Meeting sessions. High-Impact Learning Starts with Pre-Meeting Courses Pre-meeting courses, held Nov. 3–4 before the official start of the meeting,…

Rheumatology Research Foundation Hosts 10th Annual Investigators’ Meeting in St. Louis

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The Rheumatology Research Foundation hosted the 10th Annual Investigators’ Meeting in St. Louis, June 24–25. The meeting provides Foundation-funded investigators an opportunity to learn about recent findings and research projects, network, exchange ideas and collaborate on future projects. More than 30 rheumatology professionals were in attendance, with presentations from 21 investigators. James O’Dell, MD, professor…

Visit the New RISE Dashboard!

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Current participants of the Rheumatology Informatics System for Effectiveness (RISE) Registry can now access the RISE dashboard and receive an estimated MIPS score for the 2017 performance year. (Note: This score is only an estimation and cannot guarantee the type of future payment adjustment; only CMS can determine penalties and bonuses.) If you are a current user,…

Help the ACR Bring Its Message to the Hill

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The ACR will be back on Capitol Hill Sept. 26 to advocate for lower out-of-pocket costs of prescription drugs and the repeal of arbitrary Medicare therapy caps, as well as to shed light on the role of pharmacy benefit managers (PBMs) in drug pricing. But it will take the voice of all rheumatology professionals and…