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

Articles tagged with "Medicare"

ACR’s Advocacy Toolkit

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Ways to contact your member of Congress; tips for communicating with your member of Congress; ways to get patients involved; and donloadable briefs, posters, and brochures.

Will There Be an SGR Fix This Year?

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Rheumatologists should expect at least one more time-stamped extension to the Sustainable Growth Rate (SGR) formula before Congress makes any lasting changes to it. At issue is the future of rheumatologists’ Medicare payments, including the federal Medicare Payment Advisory Commission’s (MedPAC) recommendation from last year to scrap the formula, reduce payments for specialist services by 5.9% for each of three years, and then freeze them for seven more years, and the 27.4% SGR cut that has been repeatedly delayed by extensions.

Time Is Important Factor in E/M Coding

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It is not unusual for rheumatologists to spend significant time during an office visit reviewing new and/or existing problems, modifying medications, counseling, and coordinating care, but is this additional time reimbursable?

Dos and Don’ts of Verifying Insurance Benefits

Melesia Tillman, CPC-I, CRHC, CHA  |  

Not verifying insurance benefits prior to rendering service can result in nonpayment, which affects your bottom line. Because this is a costly mistake that can be avoided, make it routine to verify eligibility prior to every patient visit.