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CE Articles

Rigorous documentation, diagnosis coding pays off in risk-adjusted reimbursement
In the outpatient world, physicians are accustomed to seeing services as the key to reimbursement, but diagnoses and outcomes will increasingly factor into reimbursement as healthcare shifts toward value-based care.

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Coding and billing issues for the transgender patient
Coding and billing for the transgender patient can be difficult even when society in general has become more aware of people who are transgender. Lori-Lynne A. Webb, CPC, CCS-P, CCP, CHDA, COBGC, covers some of the challenges coders may face when filing claims for transgender patients. 
Begin tooling your EMR and billing software for new FY 2018 ICD-10-CM codes
James S. Kennedy, MD, CCS, CDIP, discusses the new ICD-10-CM codes for FY 2018 and describes some of the changes that could be made to documentation and billing habits for these conditions. 
Healthcare News: 2018 OPPS proposed rule introduces changes to radiology modifiers
The 2018 OPPS proposed rule included potential changes to certain radiology modifiers used by CMS to identify services for data collection as well as reimbursement.
Q&A: Assigning modifiers when an Advance Beneficiary Notice has been signed
Q: What are the applicable modifiers that can be used when a test fails for medical necessity or if an Advance Beneficiary Notice (ABN) has been signed? 
 

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2018 OPPS Proposed Rule: Breaking Down Financial and Organizational Impacts

During this 90-minute webinar, expert speakers Jugna Shah, MPH, and Valerie A. Rinkle, MPA, will analyze the 2018 OPPS proposed rule update providers on major proposals, including reducing payment for drugs purchased under the 340B drug discount program, expanded packaging that includes drug administration for the first time, and new potential modifiers. For more information or to order, call 800-650-6787 or visit the HCPro Healthcare Marketplace.
 

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JustCoding News: Outpatient
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