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    UnitedHealthcare updates emergency department facility E/M coding policy

    May 07, 2018
    Citing the need to address inconsistencies in coding, UnitedHealthcare (UHC) recently altered its Emergency Department...

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    Health Net to delay modifier 25 and emergency services policy changes until July 1

    May 04, 2018
    Health Net has advised the California Medical Association (CMA) that it will delay implementation of its recently annou...

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    Health Net announces policy changes to Medicare Advantage and Medi-Cal managed care product lines

    March 23, 2018
    Health Net recently announced several new payment policies for its Medicare and Medi-Cal lines of business, effective M...

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    Coding Corner: The top three E/M documentation problems

    February 01, 2018
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billi...

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    IMQ receives grant to reduce ED wait times

    March 28, 2017
    The W.M. Keck Foundation has awarded the Institute for Medical Quality (IMQ) a generous grant to help three Los Angeles...

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    Coding Corner: Coding to support an injection procedure with a same-day E/M service

    May 01, 2016
    CPR’s “Coding Corner” focuses on coding, compliance and documentation issues relating specifically to physician billin...

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    Anthem Blue Cross to review level 5 emergency room claims

    February 01, 2016
    Anthem Blue Cross announced in its December Professional Network Update that, beginning January 1, 2016, it will initiat...

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    Survey: ER visits continue to climb under Affordable Care Act

    May 15, 2015
    A recent survey conducted by the American College of Emergency Physicians (ACEP) shows that emergency room (ER) visits a...

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    Coding Corner: Coding office E/M at the highest level: 99215

    October 01, 2014
    CPR’s “Coding Corner” focuses on coding, compliance and documentation issues relating specifically to physician billin...

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    Products that contain hydrocodone reclassified to Schedule II

    August 26, 2014
    The federal government published new rules last week that will govern hundreds of medicines containing hydrocodone. Thes...

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    Noridian incorrectly denies 300,000 claims for E&M services

    August 08, 2014
    Last fall, the Centers for Medicare and Medicaid Services (CMS) experienced some editing issues with new patient E&M cod...

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    POLST: Improving patient care in the emergency department

    October 17, 2013
    Emergency department (ED) physicians are a very diverse group of providers. Some of us are cavalier, shooting from the ...

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    Coding Corner: Document carefully for same-day preventive, complaint-driven services

    October 01, 2013
    CPR’s “Coding Corner” focuses on coding, compliance and documentation issues relating specifically to physician billin...

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    Palmetto publishes comparative billing reports on E/M services

    February 19, 2013
    Palmetto GBA, California's Medicare contractor, has released the Comparative Billing Reports (CBRs) for evaluation and ...

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    Coding Corner: 2013 revisions of evaluation and management services

    February 01, 2013
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billi...

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    Coding Corner: Separately billing in E/M visits

    October 01, 2012
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billi...

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    Coding Corner: 25 or 57? Confirm if for major or minor

    March 01, 2012
    CPR’s “Coding Corner” focuses on coding, compliance, and documentation issues relating specifically to physician billi...

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