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If you want to diminish the red tape you must cut through when participating in federal health care programs, you have until Aug. 12 to let CMS know what it can do to ease your administrative hurdles, such as onerous documentation.


Physician practices have a duty to protect their employees from sexual harassment by patients with clear reporting procedures and follow-through. But you may want to consider your options before telling the accused patient not to come back for treatment.


Question: Our surgeon performed an acetabular fracture (27254) and it took him a great deal longer than usual owing to the patient’s obesity. He wants to use modifier 22 (Increased procedural services) to be paid for the extra time. What do we have to give CMS to get that paid?

Modifier 22 (Increased procedural services) doesn't get claimed a lot. But on some of procedures for which it’s most often used — the ones for which you can easily see how extra work would be required — it has low denial rates. And there are some codes with 22 for which you have to wonder what the billers were thinking.

The U.S. Department of Veterans Affairs (VA) has issued a pair of rules offering people who have served in the U.S. military opportunities for covered health care outside the 1,255 health care facilities specifically designated for veterans.


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