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01/20/2020

The fallout of a recent whistleblower case involving physician practice acquisitions serves as a warning that, if you’re making a big deal to grow your practice, you must have either a safe harbor or a really good explanation.

01/20/2020
At the end of December, Part B News introduced a “how to” article explaining correct reporting of the four X modifiers – XE, XP, XS and XU – that, in some instances, offer a more specific alternative to modifier 59 (Distinct procedural service).
01/20/2020

Ongoing government intervention with vaping products has again made headlines during the first weeks of the new decade. The Food and Drug Administration (FDA) has proposed banning the sale of all flavored cartridge-based e-cigarettes. Analysts estimate that the flavored e-cigarettes accounted for roughly 80% of retail-store e-cigarette sales in 2019.

01/20/2020
New proposed rules from CMS and OIG that would soften the Stark law and anti-kickback statute may bring some welcome relief for physicians.
01/20/2020

Question: The physician is performing a pleural catheter flush using saline with manual clearance of clots under ultrasound in the outpatient setting. Should we bill an E/M code (99212-99215) depending on documentation or some other code?

01/20/2020
Even before the accommodations that CMS made for non-physician practitioners (NPPs) kicked in this year, the two biggest NPP specialties in Medicare were performing in overdrive. Other NPP groups, however, are falling off the pace.

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