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Suggestions for conducting peer-to-peer appeals for denials If you are wondering why you should read this if you think you are not a rebeginner, well, it is because you actually are one. Beginnings do not disappear, they just reproduce. Novices are just starting, veterans have started over and over. We…
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The role has grown in both importance and stature. Back in 2012, Elizabeth Lamkin, MHA, now chief operating officer for the American College of Physician Advisors (ACPA), wrote an article for RACmonitor titled, “Need a Silver Bullet? Try Adding a Physician Advisor.” Six years later, speeding toward 2019, that idea…
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Bad advice tends to circulate regarding how to select the correct E&M codes.   At a recent oncology conference in California, the speaker before me erroneously declared that the level of medical decision-making always controls the selection of code for any evaluation and management (E&M) service. She confidently asserted that…