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01/30/2023
Train staff on the new guidelines for inpatient and observation visits, effective Jan. 1, 2023, with answers from an AMA official who oversaw the landmark revisions to the level-based E/M codes.
01/30/2023
A paper questioning the quality and efficacy of care by nurse practitioners (NP) in emergency departments is generating a good deal of press, as well as pushback from advocates for the growing role of non-physician providers in the U.S.
01/30/2023
Medicare makes it easy to spot additions to the annual National Correct Coding Initiative (NCCI) manual — new language is printed in red font. However, Medicare doesn’t flag information that has been deleted, revised or moved and Part B News found several notable deletions when it compared each chapter of the 2022 NCCI manual to the 2023 NCCI manual.
01/30/2023
A patient has brought a class action suit against a health system, claiming its negligence led to the breach of privacy and potential harm for which the plaintiff seeks damages — an ominous sign for practices in a time of rising ransomware attacks.
01/30/2023
Providers are responsible for the claims they submit, but a $153,300 settlement paid by a billing company is a reminder that a practice management company risks disruptive investigations, bad publicity and costly settlements if it is accused of submitting fraudulent claims for a provider.
01/30/2023
The Part B professional fee payment for the delayed creation of an exit site for an embedded catheter (49436) has increased 185.8% in 2023, making it the biggest gainer among the codes covered by the Medicare physician fee schedule that went into effect January 1.

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