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From the College

Analysis of National & Local Coverage Determinations

From the College  |  April 15, 2020

The Medicare statute states that items and services provided to beneficiaries must be “reasonable and necessary” to qualify for reimbursement. Although the Medicare program determines in specific cases whether an item or service is reasonable and necessary, it also issues policies, called coverage determinations, to instruct Medicare Administrative Contractors (MACs) what to reimburse providers for….

ACR Expands Access to Education through Education Partner Program & New Spotlight Slide Decks

From the College  |  April 15, 2020

In conjunction with the 2019 ACR/ARP Annual Meeting, the ACR piloted two new programs to provide learners with deeper, more diverse educational experiences outside of attending medical conferences. Education Partners The ACR Education Partner Program allows rheumatology professionals to consume research from the 2019 ACR/ARP Annual Meeting via multimedia video and audio platforms. A call…

CSE Award Provides Financial Support & Creates Practice Community for Recipients

From the College  |  April 15, 2020

Investing in rheumatology training is essential to building a strong and capable workforce. Clinician educators are responsible for developing educational programs, instructing rheumatologists to meet accreditation standards and promoting an atmosphere of quality care for patients. Although clinician educators play a critical role in attracting the next generation of rheumatology professionals, faculty pursuing careers as…

Stimulus Relief Aid for Rheumatology Practices: Details & How to Apply Now

From the College  |  April 3, 2020

Rheumatology practices are being hit hard by the COVID-19 pandemic. The sustainability of practices is being threatened and patient access to care is being reduced. The $2 trillion Coronavirus Aid, Relief and Economic Security (CARES) Act has numerous provisions that bring much-needed support to physicians and their practices. This includes $100 billion for healthcare providers, including physician…

Coding Corner Answers: Using NP/PA Services in Practice

From the College  |  February 13, 2020

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

From the College  |  February 13, 2020

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

From the College  |  February 13, 2020

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

From the College  |  February 13, 2020

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

From the College  |  February 13, 2020

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…

ACR Advocates for Dedicated Department of Defense Arthritis Research Funding

From the College  |  January 16, 2020

The ACR and RheumPAC are working to secure an annual allocation of $20 million dedicated to research on arthritis prevention and treatment in the Congressionally Directed Medical Research Program budget.

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