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Molecular Pathology Procedure Effective From July 2017

81400 – Molecular pathology procedure, Level 1 (eg, identification of single germ line variant [eg, SNP] by techniques such as restriction enzyme digestion or melt curve analysis)

81401 – Molecular pathology procedure, Level 2 (eg, 2-10 SNPs, 1 methylated variant, or 1 somatic variant [typically using non sequencing target variant analysis], or detection of a dynamic mutation disorder/triplet repeat)

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Coding Update 90587, 90620, 90621,…

90587 – Dengue is a mosquito-borne illness typically associated with tropical and subtropical areas. Patients suffer from high fever, rash, and muscle and joint pain that have earned the disease the descriptive nickname “break bone fever.” Treatment is often limited to hydration and pain medication.

90620 – MenB-4C is the complete scientific abbreviation assigned by the Advisory Committee on Immunization Practices (ACIP). The CPT vaccine code descriptors in the May 2014 meetings.

90621 – Also note the reference to the “2 or 3 dose schedule,” which differs from the reference to only a three-dose schedule in the 90621 descriptor published in the 2017 printed manual. Meningococcal diseases can affect the brain and spinal cord, and cause bloodstream infections. Antibiotics can treat infected patients.

90651 – Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 3 dose schedule, for intramuscular use.

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Bristol Healthcare Services Helps You To Reach New Heights

Bristol Healthcare is a leading medical billing services company. We provide end-to-end services to successfully resolve our client’s needs. We help clients succeed by executing our knowledge and expertise. We deliver with highly skilled professionals, proprietary workflow engines, and good infrastructure. Our clients enjoy peace of mind.  They are very sure that they have a partner who knows the RCM process in full. Specifically from big picture perspective to all the way down to daily tasks.

Bristol Healthcare Services offer complete range of on-shore and off-shore services.

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Our Six Sigma & AAPC certified experts make sure to achieve the goal of refining and improving existing parameters.  Increasing our Client satisfaction by reducing defects/errors by deploying right measures, clearly define processes and performance.

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CMS Delays Cardiac and Ortho Bundled Payment Programs Implementation

The start date for many of the bundle payment programs is pushed back by CMS to allow time for additional review and to complete the comment and rule making process. CMS has announced 3 months delay for the start of the CJR (Comprehensive Care for Joint Replacement) pilot, the Cardiac Rehabilitation Incentive Payment Model, and three other Medicare cardiac care payment programs.

Per CMS “This interim final rule with comment period (IFC) further delays the effective date of the final rule entitled “Advancing Care Coordination Through Episode Payment Models (EPMs); Cardiac Rehabilitation Incentive Payment Model; and Changes to the Comprehensive Care for Joint Replacement Model” published in the January 3, 2017 Federal Register from March 21, 2017 until May 20, 2017”. They also stated “This IFC also delays the applicability date of the regulations at 42 CFR part 512 from July 1, 2017 to October 1, 2017 and effective date of the specific CJR regulations itemized in the DATES section from July 1, 2017 to October 1, 2017.

This delay may impact the providers who were hoping to implement the models during the MACRA attestation process. As originally envisioned by CMS that the programs would help clinicians accrue incentives under the Alternative Payment Model (APM) track.

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Cardiology Coding Updates for Valvuloplasty – 2017

Valvuloplasty codes 33400, 33401, and 33403 are no more in use.  There codes are replaced by two new codes 33390, 33391, with two classification Simple or Complex, depending on the extend of procedure performed.

These new codes are defined as:

33390: Valvuloplasty, aortic valve, open with cardiopulmonary bypass; simple (ie, valvotomy, debridement, debulking, and/or simple commissural resuspension)

33391: Valvuloplasty, aortic valve, open with cardiopulmonary bypass; complex (eg, leaflet extension, leaflet resection, leaflet reconstruction, or annuloplasty)

Aortic Valve Repairs (to treat aortic valve stenosis or narrowing) are done via an open approach with the patient on cardiopulmonary bypass

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Bristol Healthcare Services assures increase in your Revenue and reduce you overhead costs

Bristol Healthcare Services delivers the most wide-ranging medical coding and billing services making use of advanced technology and experienced staff. As a leading medical billing and coding service provider we always ensure our clients see improved collections. Our in-depth healthcare industry knowledge and experience enables us to provide innovative, end-to-end solutions to successfully resolve our clients’ challenges while enhancing their overall business operations.

Our team turns into an extension of your workplace fixated on your bottom line and reducing your operational expenses. This makes us an ideal partner for our clients. We provide strategic outsourcing solutions to healthcare providers. We optimize our client’s revenue cycle by leveraging our people, processes and technology to reduce operating and capital costs, recover revenue, improve patient satisfaction, and increase productivity.

Key Benefits:

  • We provide a team of dedicated and proficient staffs whose sole focus will be to resolve the unpaid claims.
  • We keep abreast with the CPT code updates / changes.
  • We provide analytical support, which can be used to enhance your outcomes.
  • We will incline up our skilled experts and technology as the project requirement for your business grows.
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