UnitedHealthcare announced that starting April 1, it will use a proprietary software program to evaluate all professional claims submitted for emergency department visits with the Level 5 CPT code 99285.
Trouble viewing? See it online! Friday, February 7, 2020
 

News
Automated downgrade of emergency physician visit codes coming April 1
Source: ACDIS

UnitedHealthcare announced that starting April 1, it will use a proprietary software program to evaluate all professional claims submitted for emergency department visits with the Level 5 CPT code 99285.
CMS proposes 0.93% pay rate hike for MA plans in 2021
Source: HealthLeaders Media
The rate hike is part of a broader package of proposed "refinements" for Medicare Advantage (MA) and the Part D Quality Star Rating system.
 

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Q&A: Querying for pressure injuries with proper documentation
Source: Revenue Cycle Advisor
Q: What is your recommendation for pressure-injury querying using the nursing staff’s documentation?

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Patient Status Pocket Cards for Physicians

The laminated card fits in a lab coat pocket and provides guidelines and a decision tree based on Medicare regulations; it will help physicians quickly and correctly identify patient status. The latest version is updated to include the most recent regulations on patient status and application of the 2-midnight rule.
 

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