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Though it’s been in the news for years, ransomware and related cyber exploits have not been contained. Your best bet is to keep or step up your diligence but also decide whether you’re willing to pay the cybercrooks to get your data back — and, if so, to prepare for it.
Practices that dread the time lags and course-of-care disruptions that result from prior authorizations gained good news as momentum builds behind legislation aimed at streamlining these types of approvals.
Watch out for federal auditors clamping down on critical care coding and double down on medical necessity to secure you’re in the clear for these oft-used services.
Question: I’m seeing a lot of denials on my initiating visit claims for chronic care management (CCM) services. Is that because I’m reporting the CCM code with a routine E/M code? Do I need to wait for a specific date to bill? Please help!
The regulatory burden linked to prior authorizations is getting worse, and it’s not only causing administrative headaches. It’s also leading to patients veering from the recommended course of treatment.


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