nnHappy Thanksgiving from all of us at Welter Healthcare Partners. We want to thank our partners and clients for their continuous support and business throughout the year. We are so grateful to you. We wish you a safe holiday with your loved ones.nnOvereating (R63.2)...
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CMS Issues Final Rule on Hospital Price Transparency, Pushes Effective Date to 2021
After months of feedback from payers and providers unhappy with a proposal to mandate price transparency in healthcare, the Trump administration has now unveiled its final rule on the topic of hospital price transparency. This topic has been in talks for months and...
New HCPCS codes for OTP’s
Opioid Treatment Programs (OTP’s) have been a hot topic for several years. Among several new codes set to be implemented January 1st are new HCPCS codes specifically for OTP’s. nnHere are two sequences to be aware of:nGYYY1-GYYY3 (office-based treatment)nGXXX1-GXX19...
Amazon Makes Healthcare Buy As Its Plans Start to Take Shape
Since acquiring PillPack in 2018, Amazon has now bought Health Navigator in which they intend to offer to employees of Amazon. Many are certain Amazon will soon enter the healthcare market. Read the article below to find out more about this new acquisition that was...
UHC DENIAL
Although the exact reason for denial was not given for this encounter we know this is considered investigational. Most insurances will not pay, it would have to be unlisted-23929. Click below for more information!nnnAs a general rule, benefits are payable under Blue...
Why Both Hospitals and Insurance Companies Are so Worried About a Colorado “State Option” Plan
State healthcare officials have until November 15 to put together a final “state option” proposal for the legislature. Many are hoping new changes will be implemented due to the rise in healthcare costs. Read the article below to find out more on what legislation may...
With the Release of the 2020 Physician Fee Schedule & the Final Rule, CMS Confirms the Direction of Upcoming E/M Changes
Welter Healthcare Partners is providing new information regarding E/M changes in 2020. Read the updates below on what is coming next year for coding, along with changes to PCM and CCM.nnWhat’s New for 2020nnThe CY 2020 PFS conversion factor will increase to $36.0896,...
CMS Delays Start of Primary Care Payment Model
CMS' Innovation Center will delay the start of a new payment model called Primary Care First by a year, according to timeline updates on the model's information page.nnPrimary Care First, announced in April, was slated to begin in January 2020. Now, it will begin in...
2020 ICD‐10‐CM Updates
2019 ICD‐10‐CM updates went into effect on October 1st. These changes will impact encounters for dates of service October 1, 2019 through September 30, 2020. It is imperative that your organization has up‐to‐date coding resources and a keen understanding of the...
Sugar Crash Effects and How to Fix Them
Reactive Hypoglycemia (ICD-10 code E16.1) or a sugar crash can do more than just make you tired. It can lead to feeling of hunger, irritability, anxiousness, headaches or even difficulty concentrating. With Halloween just around the corner, it seems there is a candy...
Colorado Health Exchange Premiums Dropping – by a Lot
With the development of the health insurance exchange, prices for coverage for those in Colorado are going to drop. This will give families an average of $600-$700, back in their pockets. Read the article below to see when and how this new change will take place.nnFor...
ICM Coding
In this code spotlight, Welter Healthcare Partners is providing new information regarding ICM Coding. Read below to find out more information on Insertable Cardiac Monitor codes!nnnOne of the hardest parts of coding is the revolving door of code changes. 2019 saw a...