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

From the College

Coding Corner Answers: Using NP/PA Services in Practice

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Take the challenge. Scenario 1—A: The nurse practitioner may act as the supervising physician if it’s within the scope of practice for the NP and should be coded as follows: CPT: 96413, 96415, J1745 x 30, J1200 x 1 Diagnosis ICD:10: M05.79 Scenario 2—A: To qualify as an incident-to service, the PA can provide the…

Coding Corner Questions: Using NP/PA Services in Practice

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Scenario 1: Direct Billing A 70-year-old female patient with rheumatoid arthritis in multiple joints and positive rheumatoid factor returns to the practice for her fourth infusion of infliximab with the nurse practitioner (NP). She reports no fevers, cough, dyspnea or concurrent illness. She rates the severity of her joint pain at 6 on a 10-point…

Don’t Miss 2020 E/M Coding Workshop in New Orleans

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Access to good training and education on practice management and coding issues has proved beneficial to physician success. Getting up-to-date information on compliance, insurance reimbursement, office efficiency, coding and billing is crucial for effective and efficient practice management. The ACR’s Committee on Rheumatologic Care (CORC) has created the premier one-day E/M Documentation Trends and Best…

VERA Aims to Expand Rheumatology Care for the Underserved

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The ACR’s Volunteers to Expand Rheumatology Access (VERA) initiative recently launched a new webpage to provide helpful information to rheumatology healthcare providers interested in volunteering to care for uninsured and under­insured patients with rheumatic disease. This resource, VolunteerRheumCare.org, provides answers to frequently asked questions related to providing free care, as well as links to organizations…

The Rheumatology Research Foundation Welcomes New Leaders

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The Rheumatology Research Foundation has appointed S. Louis Bridges Jr., MD, PhD, to serve as president for a two-year term. Dr. Bridges has served as the director of the University of Alabama–Birmingham (UAB) Division of Clinical Immunology and Rheumatology since 2009. He is also the director of the UAB Comprehensive Arthritis, Musculo­skeletal, Bone and Autoimmunity…

Coding Corner Questions: Rheumatology Word Search

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Questions What type of drug is interchangeable with an FDA-approved biologic? What drug is used in conjunction with infliximab, unless the patient cannot tolerate it? What can be used as a key element in an evaluation and management (E/M) service, along with the history, exam and medical decision making? What drives the level of an…

Achieving Clinical Documentation Improvement in 2020

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Although the Centers for Medicare & Medicaid Services (CMS) is simplifying documentation through its Patients over Paperwork initiative, clinical documentation improvement (CDI) did not go away. CDI is not about how to code in ICD-10-CM or the Current Procedural Terminology (CPT); instead, it is a huge part of the solution in maximizing the integrity of…

Help Rheumatology Research Foundation Hit Its Year-End Goal: $100,000

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The Rheumatology Research Foundation is the charitable arm of the ACR, advancing research and training to improve the health of people living with rheumatic disease. Thanks to the continued support of ACR and ARP members, the Foundation is the largest private funding source for rheumatology research and training programs in the U.S. In all, the…