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If you get COVID vaccines, follow state rules — unless the shot will be wasted

04/12/2021

If your state has only cleared a certain population for the COVID vaccine and your practice is able to perform them, you’re obliged to follow the state’s guidelines for eligibility — even if patients are nudging you to let them “cut the line.” If you don’t, you risk losing your vaccine-dispensing privileges.

Early E/M insights, Part I: Review guidance for reporting time-based encounters

04/12/2021

by: Shannon McCall

The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live Jan. 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.

Warning: Marketing, practice support from manufacturers can raise fraud risk

04/12/2021

by: Marla Durben Hirsch

Review any form of help you receive from corporations, such as pharmaceutical companies and medical device manufacturers. While physicians know to say no to all expenses-paid vacations from manufacturers, accepting less obvious forms of remuneration could also violate the anti-kickback statute.

Take 4 steps before you accept advertising, practice support

04/12/2021

by: Marla Durben Hirsch

Free help with marketing or practice assistance from a medical manufacturer can put you on the wrong side of the anti-kickback statute.

Medicare adds 24 services to telehealth eligibility list during PHE

04/12/2021

by: Julia Kyles, CPC

Practitioners who perform hearing, speech and cognitive therapy now have more services they can provide via telehealth during the COVID-19 public health emergency (PHE).

CMS pauses claim payments until Congress passes sequester fix

04/12/2021

by: Kevin Duffy

CMS is holding payments for claims submitted on or after April 1 in anticipation of legislation that will extend the suspension of a 2% cut to all Medicare payments, according to a special edition of MLN Connects.

Interprofessional consults slow to lift, but fees can pad your revenue

04/12/2021

by: Richard Scott

Medical practices showed a tepid response to the launch of a series of interprofessional consultations in 2019, the first year that CMS approved the codes for reimbursement.

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