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What is HCC coding and why is it important?

  We get this question many times.  What is HCC coding and why is it important?  I wanted to take some time to give some background to this question.  Hierarchical Condition Categories (HCC) coding is a system used by Medicare Advantage plans to classify and reimburse healthcare providers for the care of patients with chronic

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Covid-19 Accelerated and Advanced Payments Repayment

As a reminder, Covid-19 Accelerated and Advanced Payments repayment will begin this year. The Continuing Appropriations Act established that repayment will begin “one year from the issuance date of each provider or supplier’s accelerated or advanced payment” Medicare will automatically recoup 25 percent of the Medicare payments owed for eleven months, If full recoupment is

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Medicare Part B Payment for COVID-19 Vaccines during the PHE

Everything you need to know about billing Medicare for COVID-19 Vaccines, and certain Monoclonal Antibodies can be found from the link below: https://www.cms.gov/medicare/medicare-part-b-drug-average-sales-price/covid-19-vaccines-and-monoclonal-antibodies CMS has created a provider toolkit to provide further guidance and can be found from the link below: https://www.cms.gov/covidvax-provider

CMS Instructs all MACS to hold claims

The Senate passed legislation last week to extend the pause on the 2% sequestration reduction through December 31, 2021. The house is expected to take up the bill the week of April 13, 2021, when it returns for a session after the holidays. It is fully expected that the bill will be passed through the

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BREAKING NEWS: New CPT Codes for COVID-19 Vaccine Just Released

As we learned earlier this week, there has been a push for approval from the FDA for emergency use of a COVID vaccine. On the heels of the news, the AMA announced new CPT codes for each of the two COVID vaccines as well as administration codes for each vaccine. Releasing the CPT codes ahead

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Medical Coding Outsourcing;  A Cost Benefit Analysis

Medical coding company - AIE Medical

Medical coding is the transformation of healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. The diagnosis and procedure codes are taken from medical record documentation, such as transcription of physician’s notes, laboratory and radiologic results, etc. But why we do need medical coding? Shouldn’t it be enough to list the symptoms,

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