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Alert staff to the new and revised medical decision-making (MDM) guidelines before they go into effect Jan. 1, 2023. Your practice also will need to revise materials that are based on the current MDM table and definitions, such as scorecards and training materials.
A new study shows the growing role of psychiatric mental health nurse practitioners (PMHNP) in filling mental health care needs, and suggests alternatives for practices accustomed to refer patients who need these services.
Several federal agencies recently issued a set of final rules based on the No Surprises Act (NSA) that affects out-of-network reimbursement of providers. These rules should make it easier for providers to contest payer decisions — that is, if CMS can break the logjam in its independent dispute resolution (IDR) process, which experts caution the new rules may worsen.
On September 7, CMS published two comment requests in the Federal Register. The first request pertains to the Advance Beneficiary Notice of Noncoverage (ABN).
Many psychotherapy services dipped in 2020; however, the 60-minute therapy service code gained claims while Part B payments grew by $28 million. And aside from psychiatric specialists, nurse practitioners were most likely to report a psychiatric diagnostic evaluation when also performing a separate E/M service.


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