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The advent of a new presidential administration is expected to bring changes in health care compliance enforcement: You should watch for the new wave of HHS, CMS and Department of Justice (DOJ) agencies to go after big health care-related crimes. They’re also likely to scrutinize HIPAA and the big payments made to help providers over the COVID-19 hump.
Be careful about double counting tests and understand how to navigate labs and other test results as they pertain to the time and medical decision-making (MDM) elements of the revamped E/M office visit rules.
If you want to use employee furloughs to decrease payroll pressure during a difficult financial stretch, make sure you’re observing the law and making it easy and desirable for your employees to come back.
In preparation of a pending vaccine approval, the AMA recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceuticals, a division of Johnson & Johnson.
As the fee schedule shake-up settles down, you can officially welcome thousands of codes that are seeing pay gains into your daily routine. Leading the charge is molecular pathology interpretation service G0452, with a 143% year-to-year increase in non-facility fees.


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