March 2022

Newsflash: Is your healthcare organization TJC “Survey Ready” for 2022, or maybe not?

Healthcare organizations that achieve Joint Commission accreditation meet or surpass CMS’s standards for acceptance into the Medicare and Medicaid programs. To keep accreditation in good standing being permanently prepared for “surprise inspections” is integral as requirements change.

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February 2022

Impacts to Coding and Positive Changes for RHCs in 2022

As many RHC providers can attest, it feels like they are the ugly stepchildren of CMS at times. Many Medicare benefits were not payable in the past to an RHC provider. CMS has implemented some needed changes effective January 1, 2022

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December 2020

Breaking News: Giant relief bill also set to increase physicians’ 2021 fees

Physicians can breathe a little easier going into 2021 – Congress has erased the deep Medicare fee cuts CMS laid out in the final 2021 physician fee schedule as an offset to higher E/M pay rates.
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September 2020

2021 E/M Changes to Outpatient Visits Part 3

2021 CPT E/M Guideline Definitions for Acute and Chronic Illnesses

Acute, uncomplicated illness or injury

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September 2020

2021 E/M Changes to Outpatient Visits Part 2

Elements

In the past both history and exam have been required for code selection. With the new changes both history and exam will need to be documented but will not affect the code selection. There will be no minimum requirement, beyond establishing medical necessity and the standard of care. Providers will be able to select the E/M service level either by the level of medical decision making or by the total time spent performing the service on the day of the encounter.

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August 2020

2021 E/M Changes to Outpatient Visits Part 1

Per CMS: they have “established an internal process to evaluate and streamline regulations with a goal to reduce unnecessary burden, to increase efficiencies, and to improve the beneficiary experience. In carrying out this internal process CMS is moving the needle and removing regulatory obstacles that get in the way of providers spending time with patients.”

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(a.k.a. HCCS)

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Contact HCCS for additional information about coding at info@hccscoding.com.