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09/11/2023
Better late than never: CMS released a new version of its Evaluation and Management Services Guide on Aug. 29. CMS withdrew the 2022 version of the manual on Feb 7. The updated online manual synchs up with guidelines and rules for E/M visits that went into effect Jan. 1, 2023.
09/11/2023
Medical boards and state laws require practices to report physicians who suffer “impairment” due to drugs or alcohol. But it’s important for practices to protect themselves by closely following the rules — and to protect their physician by checking out sub-governmental groups who may be authorized to help.
09/11/2023
This week’s story on physician impairment and how to deal with it talks about protocols a practice may use to decide their response. For Gerda Maissel, M.D., CEO of My MD Advisor in New York City, the substance impairment process starts with an evaluation of the charge.
09/11/2023
Question: Some of our clinical staff is going on vacation and we’re going to bring in locum tenens providers to cover for them. We have a physician assistant (PA) who wants us to swap in a fellow PA who freelances in a reciprocal billing arrangement. Can we do that?
09/11/2023
Question: Which place of service (POS) code should we use for telehealth services in 2024?
09/11/2023
CMS recently released a national coverage determination (NCD) update to section 410.1.1 of the Medicare Claims Processing Manual, which covers requirements for CPT coding associated with acupuncture and dry needling services.
09/11/2023
Take note if your practice performs presumptive and definitive urine drug tests in its office lab. CMS will modify the new National Correct Coding Initiative (NCCI) edits that bundle definitive tests into the presumptive tests.
09/11/2023
CMS recently published a summary of its second quarter 2023 HCPCS Level II code update application decisions, accepting 16 of 24 submissions, according to MLN Connects.
09/11/2023
When subbing in a physician under locum tenens arrangements, the situation often involves diagnostic radiology services and cancer care. Among E/M services, hospital visits are more likely to involve a substitute physician than office visits.

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