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MIPS
Now Available: 2026 MIPS Payment Adjustment Information
The Centers for Medicare & Medicare Services (CMS) has released Merit-based Incentive Payment System (MIPS) payment adjustment information for the 2024 performance period/2026 MIPS payment year.
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Coding
Coding Pearls - How To Code a Specific Surgical Procedure
“Need advice on codes and modifiers....
My associate removed painful hardware from a previous Lisfranc dislocation repair (only removed the hardware from the 1st met-cuneiform joint, not the other tarsometatarsal joints), and redid a 1st met - med. cuneiform arthrodesis with new hardware. He also did a sliding calcaneal osteotomy with fixation. He did a 1st proximal phalanx osteotomy. All on the right foot. Highmark insurance in PA was the health insurance carrier.
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FDA Recalls
Coding
Coding Pearls - Routine Foot Care and Callus Care
“My business partner and I have different opinions regarding this issue and I’m having trouble finding a succinct and primary source document. When performing nail care and callus care for a high-risk patient, can you bill for both when the callus is located on the tip of the toe? It is my understanding that the skin is a separate structure than the nail and thus they are separate diagnoses and CPT codes, but my business partner states he heard a lecture that stated not to charge for calluses that occur on the same toe as a nail that is trimmed or debrided. This seems to be an LCD-dependent decision as I have not been able to locate anything in CMS policy that states either way. Can someone point us in the right direction with primary source reference?”
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FDA Recalls
MIPS
Measure 47 Advanced Care Plan
Description:
Measure 47 Advance Care Plan measures the percentage of patients aged 65 years and older who YOU HAVE ASKED if they have an advance care plan or surrogate decision maker. The discussion must be documented in the patients medical record. The patient having an advance care plan is not required, only that it be discussed during the visit.
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