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Cardiology Coding Alert

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Future Effect of ACA Decision Remains Up in the Air

Published on Tue Aug 07, 2012

Take a look at how the MPPR could reduce cardiology reimbursement in 2013.The United States Supreme Court recently upheld the constitutionality of the Affordable Care Act (ACA). The Supreme Court ruled that the requirement that individuals must have health care coverage or face a penalty was an allowable tax (rather than a penalty). But the Court decided the federal government couldn't require states to expand existing Medicaid programs by planning to disqualify noncompliant states from Medicaid funding.With many issues still a mystery, coders by and large are taking the "wait and see" approach regarding how the law will affect their day to day job functions. But there are a few areas to keep on your radar.Preventive services: If patients "have a new health insurance plan or insurance policy beginning on or after September 23, 2010," certain preventive services must be covered when delivered by a network provider. For these services, [...]
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