New EHR Alert Increases HCV Screening Among Baby Boomers
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Implementation of an electronic health record-based prompt significantly increased hepatitis C screening rates among baby boomers in primary care. According to the researchers, HCV screening among adults born between 1945 and 1965 increased fivefold during a 1-year period following implementation of the Best Practice Advisory (BPA) EHR alert.
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Some New Myocardial Infarction Codes Challenge Interpretation
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The addendum for new codes coming out was recently released with many notable additions and deletions. The next several articles in this series will address some of these conditions in order to help us get ready for the October 1 implementation date.
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DOJ Charges Hundreds With Opioid-Related Fraud
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The U.S. Department of Justice (DOJ) arrested 412 individuals, including 115 licensed medical professionals, across the country for alleged involvement in health care fraud schemes totaling around $1.3 billion in false billing and “unlawful” distribution of opioids and other narcotics, according to a statement. It is the largest health care fraud enforcement action ever taken by the
agency.
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Final ICD-10-CM Codes for 2018 Contain a Few Surprises
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The final codes include 322 more changes than what was proposed by CMS in April's hospital IPPS rule. Starting Oct. 1, it will be possible to select a specific ICD-10-CM code when a patient is in remission from abuse of each of a variety of substances, including alcohol, opioids, cannabis and nicotine
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How to Avoid TCM Coding Denials |
CMS began paying for TCM in 2013, and many commercial payers began doing so shortly thereafter. The 2017 national average Medicare payment for TCM with moderate medical decision making is $165.45. For TCM with high medical decision complexity, Medicare pays a national average of $233.99.
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