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04/20/2015
In the aftermath of the historic strike-down of the sustainable growth rate (SGR) payment formula, you can expect to see your Medicare payments arrive at their pre-April levels, while a modest pay bump and value-based payment mechanisms appear on the horizon.
04/20/2015
Your road to meeting meaningful use would get easier with shorter reporting periods and fewer measures under a new proposed rule released April 10 — even if you’re one of the eligible professionals (EPs) in stage 1 who would be promoted to “modified” stage 2.
04/20/2015
Medicare auditors will be able to upcode or downcode claims when they believe that the provider has selected the wrong code but a payable service was rendered, according to a new CMS transmittal.
04/20/2015
When you’re missing an element of the history, examination and medical decision-making needed to bill for a new patient E/M service or an initial inpatient visit, don’t assume you can fall back on established and subsequent services. You may be running afoul of CPT coding rules and potentially taking larger payments then those to which you’re entitled.
04/20/2015
Providers are getting better at transmitting claims with ICD-10 codes on them, and Medicare administrative contractors (MACs) are getting better at processing them, CMS concluded after the latest round of acknowledgment testing last month.
 
04/20/2015
Starting April 6, physicians and teaching hospitals can review payments from pharmaceutical and medical device manufacturers attributed to them. 
04/20/2015
Almost all of the codes most commonly billed by nurse practitioners (NPs) and physician assistants (PAs) increased in utilization from 2011 to 2013, according to the latest Medicare data available.

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