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Vaccine mandate stays; check providers’ status and respond as needed

06/06/2022

Five months after the Supreme Court cleared the way for the federal health care employee vaccination mandate, chances for a reprieve are dwindling. To avoid possible penalties, make sure your eligible providers are either vaccinated or have undergone the proper process for exemption; also, be sure to keep your records in order.

Critical care compliance: Find solutions to 5 key challenge areas

06/06/2022

by: Julia Kyles, CPC

Medicare’s revised rules for critical care services (99291-99292) created new ways that providers can team up and treat patients. They also spurred new ways to code and bill for the work.

Admit service dogs within reason, but ‘emotional support’ doesn’t fly

06/06/2022

by: Roy Edroso

Question: I have read the Part B News story about service animals in the practice (PBN 4/9/18). Since that story was published, I have seen a lot of coverage of “emotional support” animals and wonder if shared public spaces like the doctor’s office are required to accommodate them as well.

Ensure appropriate documentation for modifier 25

06/06/2022

by: Sarah Gould, CPC

Question: What is the best way to determine if an E/M service is above and beyond the physician work normally associated with a procedure to justify the use of modifier 25 (Significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service)?

AMA announces CPT codes for Pfizer booster, Sanofi-GSK candidate vaccine

06/06/2022

by: Sarah Gould, CPC

The AMA recently announced an editorial update to the CPT code set for COVID-19 vaccines that includes new codes for Pfizer-BioNTech’s booster vaccine and Sanofi-GlaxoSmithKline’s (Sanofi-GSK) vaccine candidate.

Reporting, revenue for common in-house lab tests dipped in 2020

06/06/2022

by: Julia Kyles, CPC

The fallout from COVID-19 didn’t stop at procedures and services. In 2020, practices reported fewer low-complexity, high-volume lab tests, resulting in a loss of more than $30 million, according to Part B News analysis of Medicare Part B claims data for 2019 and 2020.

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