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Get ready to start reporting a batch of new billing modifiers, required for various E/M and telehealth services, that will take effect Jan. 1, 2022. Review the descriptors and the information that CMS has released about them and, when you determine the modifiers that your practice will use, train staff on the modifiers’ underlying policy.
The Medicare Diabetes Prevention Program (MDPP) has seen scant participation, so CMS announced a series of changes in the final 2022 Medicare physician fee schedule to make it easier on both suppliers and participants. But experts aren’t sure those changes are a magic bullet for the troubled service and suggest a wider revamp may be needed.
Make sure that your employees know not only the latest compliance obligations but also where to turn internally if they’re confused or concerned about them. This does more than simply reduce the risk of making a legal mistake. It also keeps employees from running to the government when they think you’re making one.
Question: I work in a physician practice and sometimes I discuss my medical issues informally with one of our doctors. He seems game, but I don’t want to get him (or us!) in trouble. Should I offer to have a formal medical visit with him instead?
The COVID-19 pandemic appears to have severely hit the Medicare Diabetes Prevention Program (MDPP) in 2020, with claims dropping to less than half of what they were in 2019. The decreased volume comes despite a range of CMS flexibilities and marks another ominous sign for the underperforming program.


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