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02/11/2019
A sensational case involving kickbacks to doctors from a pharmaceutical company serves as a warning: Without effective policy and procedures for providers’ financial relationships with vendors, you risk serious damage to your practice.
02/11/2019
Prepare for greater levels of experimentation in plan design, copays and eligible service offerings among your Medicare Advantage payers as CMS opens up its hallmark value-based program to the nation.
02/11/2019
Question: One of our surgeons recently performed a procedure in which she was assisted by a colleague – but only just a little. We’re debating whether this requires the use of modifier 81 (Minimum assistant surgery) rather than 80 (Assistant surgery).
02/11/2019
Question: My practice has started to report more depression-screening services, but we’re still seeing a decent share of denials. My doctors want to make sure the claims are getting paid. What might I be doing wrong?
02/11/2019
In this compliance-themed round-up, you'll get the details of a pain management doctor who must pay more than $1 million to resolve allegations of fraud and a physician assistant who faces jail time for accepting kickbacks.
02/11/2019
When it comes to documenting a helping hand during common surgical procedures, practices tend to turn to modifier AS (Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery) rather than a range of CPT assistant-surgical modifiers — and find success in doing so.

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