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outpatient prospective payment system

Release of 2021 Outpatient Prospective Payment System (OPPS) Final Rule Begins Elimination of IPO List

By Teri Jorwic

The Final Rule for Hospital Outpatient Prospective Payment System (OPPS), which takes effect on January 1, 2021 was released on December 2 (CMS, 2020). The 2021 OPPS Final Rule includes updates to payment rates and changes to the APCs , including the addition of two new Comprehensive APCs (C-APCs).

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telehealth billing

Telemedicine Services Are Here to Stay Thanks to COVID-19, Shows Telehealth Billing Statistics

By Mari Cely

The number of telehealth visits via real-time audio-video communication, as well as audio-only phone calls, skyrocketed in 2020, telehealth billing statistics show, due to the outbreak of SARS-CoV-2 and stay-at-home orders nationwide. Nearly half (43.5%) of Medicare primary visits were done via telehealth in April, compared to just 0.1% in February prior to the public health emergency (ASPE-HHS, 2020).

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HIV coding

ICD-10-CM HIV Coding Overview Explores HIV Characteristics, Stages of Diagnosis, & Treatments

By YES HIM Consulting

The Refresh With YES: ICD-10-CM HIV Coding Learning Path includes an overview of Human Immunodeficiency Virus (HIV), as well as instructions on how to assign specific ICD-10-CM codes that report the different stages of the HIV infection. Learners will explore the characteristics and pathophysiology of the HIV diagnosis, stages of the disease, and HIV treatments. Applicable guidelines and Coding Clinic articles related to HIV coding, as well as ICD-10-CM coding of medical reports and case studies, will be reviewed.

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quick guide to hcc

Your Quick Guide to HCC Risk Adjustment Models

By YES HIM Consulting

There are two different Hierarchical Condition Category (HCC) models used to calculate risk adjustments: the CMS-HCC model and the HHS-HCC model. Does your facility know how and when to use them? Our detailed HCC risk adjustment infographic explains the differences and usages for each HCC model.

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Repair of laceration

CPT Integumentary Coding Refresher Course Reviews Repair of Lacerations & Removal of Skin Lesions

By YES HIM Consulting

The Refresh With YES: CPT Integumentary – Lesion and Wound Repair Learning Path teaches learners how to code the removal of skin lesions and repair of lacerations, divided into 12-19-minute webinars. This learning path also reviews applicable CPT guidelines, CPT coding examples, and CPT Assistant articles.

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