A Medicare Advantage (MA) plans are likely to see a reduction in risk scores and payments due to the COVID-19 pandemic, a recent analysis conducted by Avalere found.
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News
Medicare Advantage plans may see reduced payments and risk scores due to COVID-19, analysis shows
Source: ACDIS
Medicare Advantage (MA) plans are likely to see a reduction in risk scores and payments due to the COVID-19 pandemic, a recent analysis conducted by Avalere found.
Tip of the week
ICD-1-CM code G96.819 may be used for iatrogenic cases or hypotension caused by medical examination or treatment. However, before assigning this code, coders should ensure that there is not a more specific code in category G97.- for intraoperative and postprocedural complications and disorders of nervous system, not elsewhere classified.
 

Revenue Cycle Advisor Subscriber Content

Examining the FY 2021 IPPS final rule
Source: Revenue Cycle Advisor
CMS had a busy year. Tasked with responding to the novel coronavirus (COVID-19) public health emergency (PHE), it introduced a number of measures under the National Emergencies Act, which authorized the HHS secretary to waive or temporarily modify Medicare, Medicaid, and state Children's Health Insurance Programs according to national needs.
 

Daily Q&A
Q&A: CPT coding for cervical mapping during colposcopy
Source: Revenue Cycle Advisor
Q: When might it be appropriate to report computer-aided mapping of the cervix uteri using 2021 CPT add-on code 57465 (computer-aided mapping of cervix uteri during colposcopy, including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect)?

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Upcoming CMS Events
Monday, 12/21 - 2020 HCPCS Virtual Public Meeting - Day 1
Tuesday, 12/2 - 2020 HCPCS Virtual Public Meeting - Day 2
 

Product Spotlight

Unpack ICD-10-CM and CPT Coding for Major Joint Arthroscopies and Total Joint Replacements

Coding and billing rules for hip, knee, and shoulder arthroscopies and total joint replacements are continually evolving, requiring hospitals to stay up to date to report accurate claims. During this 90-minute webinar, Lynn Anderanin, CPC, CPC-I, CPMA, CPPM, COSC, will review ICD-10-CM and CPT coding for these procedures, followed by a live Q&A.
 

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Evaluation and Management Solution Center

Providers need to understand CMS’ E/M changes ahead of the January 1, 2021 start date. These training solutions will help you prepare.
 
 

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