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Telehealth Information

Telehealth Information

Telehealth Information By Nicoleta Rahovan, CPC, CANPC – Lead Coder On March 6, 2020 CMS broadened access to Medicare Telehealth services during COVID-19 public health emergency (PHE). These guidelines are effective for DOS on and after March 1, 2020, until the end of...

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Identifying COVID-19 Patients

Identifying COVID-19 Patients

Identifying COVID-19 Patients By Nicoleta Rahovan, CPC, CANPC – Lead Coder On March 18, 2020, the CDC announced that The World Health Organization (WHO) developed a new diagnosis code U07.1, COVID-19 that may be used for DOS on or after April 1, 2020. This code can...

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Are You Considering Work In Critical Care Medicine?

Are You Considering Work In Critical Care Medicine?

are you considering work in the critical care medicine? By Shauna Brown, Client Services & Contracts Manager   If you have concerns about proper documentation and billing for services, RCM has assembled information and additional resources that will be useful...

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Are You Insured To Provide Services Outside of The OR?

Are You Insured To Provide Services Outside of The OR?

Are You Insured To Provide Services Outside of The OR? By Shauna Brown, Client Services & Contracts Manager Many Anesthesiology specialists now find themselves working outside of the OR performing Critical Care and Respiratory Therapy services. RCM understands that...

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COVID-19 – RCM Company Update

COVID-19 – RCM Company Update

COVID-19 – RCM COMPANY UPDATE by BY GARY CONWAY, PRESIDENT Like so many of you, we have spent the last several days and weeks learning about the coronavirus (COVID-19) and how it is impacting our world. For RCM, that means understanding how it affects our employees,...

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ASA Post-operative Pain Procedure Updates & Guidelines

ASA Post-operative Pain Procedure Updates & Guidelines

ASA Post-operative Pain Procedure Updates & Guidelines by By Nicole Jasken, Billing & Coding Manager As expected, the New Year always brings in changes & updates along with it. Updates we’d like to highlight are the changes the ASA has made to the way...

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New Medicare Health Insurance Cards

New Medicare Health Insurance Cards

Reminder by Beth Turnbaugh, Director of Billing Operations As of January 1, 2020, Medicare will not accept claims with the patient’s Health Insurance Claim Number (HICN) –patients’ social security number (SSN). They are requiring the new Medical Beneficiary Identifier...

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Our Warmest Thanks

Our Warmest Thanks

by Gary Conway - President Dear RCM Clients - Another great year is quickly coming to an end. I’m feeling somewhat nostalgic as we celebrate the Holidays for our 36th year! All of us here at RCM are so very thankful to you.   It is, and has been our great pleasure to...

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2019 Year End

2019 Year End

by Lori Gutierrez – Vice President It’s hard to believe another year is coming to an end, but here we are. There is a saying, the older you get the faster it goes. Some liken it to a roll of toilet paper, the closer you get to the end the faster the roll goes ☺ I...

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Coding Alert – Diagnosis Descriptions

Coding Alert – Diagnosis Descriptions

by Nicoleta Rahovan Lead Coder CPC CANPC It's October and as coders, we know this is the month when the ICD-10-CM for 2020 diagnosis codes are being implemented.  Starting with October 1st DOS we need to make sure we correctly incorporate the updated 2020 ICD-10-CM...

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Reminders

Reminders

Anthem Effective October 1, 2019, Blue Cross will require providers to submit their charges within 90 days from the date of service.  It is imperative that RCM get these cases as soon as possible to verify coverage and submit the claim within the 90 day window to...

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Prepayment Clinical Validation Review Process

Prepayment Clinical Validation Review Process

Effective with dates of service on or after September 5, 2019, multiple Anthem plans announced they will initiate a prepayment clinical validation review process for claims with a number of modifiers, including 25 (Significant, separately identifiable...

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