Medicare Compliance & Reimbursement
Expect Enhanced Scrutiny of Diagnostic-Only ED Visit Claims
Medicare Compliance & Reimbursement
- Part D:
Are You Part of the 'Opioid Epidemic?' Get Ready for Big Changes
Stakeholders also dislike PDMP review requirement in another proposed rule. The Centers for Medicare & Medicaid [...] - Learn What Else CMS Has in Store for MA & Part D Plans
CMS wants to waive the bid requirements for MA EGWPs. In addition to the opioid [...] - Compliance:
Expect Enhanced Scrutiny of Diagnostic-Only ED Visit Claims
Double check whether a doctor saw the patient. If you bill for an emergency department [...] - Modifiers:
Know When to Use Modifier 51 -- and When Not To
Navigate conflicting preferences with this expert advice. Be cautious when using modifier 51 (Multiple procedures). [...] - Compliance:
Teaching Physicians Must Meet Higher Critical Care Documentation Standards
Tip: Go by the book. The teaching physician section in the Centers for Medicare and [...] - Reader Question:
Use 25 with New Prolonged Services Codes to Max Out Payment
Question: A 25-year-old new patient reports to the gastroenterologist complaining of consistent pain in the upper [...] - Reader Question:
Only Report Time that Directly Contributes to the Treatment of the Critical Patient
Question: How is physician time measured for the purpose of reporting critical care? Answer: The duration of [...] - Reader Question:
Vaccines May Not Comprise Just One Code
Question: Do flu vaccines always require two codes? Answer: Yes, according to Humana. “In order to help [...] - Industry Note:
CMS Adds CRNAs to Telehealth List
Practices that are eager to use the Medicare telehealth benefit have a new option — [...] - Industry Note:
CMS Creates Proposal for New Medication Injection Payments
In its ongoing effort to pay physicians based on quality of care and to cut [...]
