Each year as a part of normal coding process, diagnostic codes are updated to reflect revised, new, and deleted codes through the CMS ICD-9-CM Coordination and Maintenance Committee. Diagnostic code changes and updates are based on information from vendors, physicians, or other health professionals that demonstrate a current code does not adequately describe a disease, sign, or symptom—or simply that the code is no longer appropriate for use.
Search results for: ICD-10
ICD-10 Adoption Brings Major Changes to Practices
Change will affect all facets of a rheumatology practice, from front desk to doctor charting to finances
Aetna Expands Evaluation & Management Downcoding Program
Aetna recently expanded its Claim and Code Review Program, which results in the downcoding of certain level 4 and 5 evaluation and management claims. Practices are advised to monitor remittance documents for appropriate reimbursement.
Stay Current on Coding Guidelines with ACR Lunch-and-Learns
Available topics include CPT telemedicine code sets, G2211 coding updates, evolving HIPAA guidelines, evaluation and management (E/M) coding and billing strategies.
RA: How High Is the Toll?
Patients with RA not only suffer from functional limitations, but also face increased healthcare costs, primarily due to prescription drug use, says Dr. Yinan Huang.
Catch Your Breath: Understanding Interstitial Lung Disease in Rheumatoid Arthritis
The session highlighted the importance of correctly identifying and treating patients with RA-ILD early in their disease course.
2024 Proposed Rule for the Quality Payment Program Released
See key changes for the Merit-Based Incentive Payment System for the 2024 performance year as outlined in the proposed rule.
In the Wake of Dobbs v. Jackson Women’s Health Organization
Since the Supreme Court ruling in June 2022 overturning 50 years of precedent protecting abortion as a constitutional right (Dobbs v. Jackson Women’s Health Organization), states are enacting and implementing new laws to regulate abortion, and medical organizations and healthcare providers are assuming the large task of understanding what the new laws mean for their…
TNF Inhibitors Associated with Neurological Adverse Events
A study examined the association between TNF inhibitors and neurological demyelinating adverse events in patients with rheumatoid arthritis and spondyloarthritis using cohort data from five Nordic countries. Researchers showed that patients with SpA were more likely to experience adverse events than patients with RA.
ACR Practice Experts Can Answer Challenging Business Questions
Coding questions and billing compliance are just a few of the issues ACR practice management specialists can help managers and rheumatologists navigate to recoup reimbursement and ensure timely patient treatment.
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