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Advanced communication technology is revolutionizing the way healthcare is provided. One of the most significant advances in the last decade is telemedicine, which refers to a broad range of remotely-provided medical services. One such service is telehealth visits, through which physicians provide care for patients in remote offices. This can be especially helpful for patients who live in rural areas where only an advanced practice registered nurse (APRN) or physician assistant (PA) is available to provide service. With a telehealth visit, it is possible for the local provider and the patient
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Last week, we looked at the ICD-10 and CPT coding systems, which are the two dominant code sets used for medical coding and billing in the United States today. However, if you’re billing Medicare, Medicaid, or one of a few other third-party insurance payers, you also need to be familiar with the Healthcare Common Procedure Coding System (HCPCS).
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In last week’s post, we provided an overview of the Healthcare Common Procedure Coding System (HCPCS). This code set is administered by the Centers for Medicare and Medicaid Services (CMS), and is it used primarily to bill government payers (although some private payers also utilize the HCPCS code set). HCPCS Level I is identical to the CPT code set, but Level II is used to identify a wide range of products and services that are not included in CPT-4.
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In the United States today, an estimated 30.3 million people — about 9.4 percent of the total population — has diabetes. Patients with diabetes have to monitor their blood glucose levels regularly in order to make key health decisions related to diet and insulin dosage. The traditional way for patients with diabetes to test their blood sugar is with a finger stick. However, as technology has advanced, medical device providers have developed an alternative: continuous glucose monitors (CGMs), which can be used for glucose monitoring by patients with both type 1 and type 2 diabetes. These devic
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In light of the growing epidemic of opioid addiction and overdose in the United States, the Division of Federal Employees’ Compensation (DFEC) within the Office of Workers’ Compensation Programs (OWCP) has issued new guidelines for workers’ compensation claims for opioid medications for federal employees. While the OWCP DFEC acknowledges that opioid medications are valuable for some injured workers, the Federal Employees Compensation Act (FECA) program believes that safety concerns justify more stringent standards.
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As technology reshapes the way people think about the provision of healthcare, telehealth services are on the rise. In order to respond to this trend, the Centers for Medicare and Medicaid Services (CMS) is adding several new codes to the CPT and the HCPCS code sets for calendar year 2018. If your practice provides telehealth services to patients, it is essential to be aware of the codes in order to ensure that there will be no unexpected glitches in claims processing come January. Read on to learn about the new telehealth codes that are being added for calendar year 2018.
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Last week on the blog, we talked about the new Medicare telehealth services codes that are set to take effect in January. These new codes were added to the CPT and the HCPCS code sets, but these are not the only code sets that are due for an update in 2018. The ICD-10 CM code set has also been revised and updated for the new year. Read on to learn more about the changes that have been made for 2018.
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Pressure ulcers are among the most common conditions that are addressed by home health care workers. Patients with limited mobility — especially those who are bedridden or who use wheelchairs — are often at high risk of developing pressure ulcers, so home healthcare workers are often involved in prevention, identification, management, and/or treatment. As a result, a significant portion of the OASIS-C2 Item Set is dedicated to pressure ulcers.
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