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Even patients get the blues: 4 ways to counter patient burnout

03/20/2023

A recent report on “patient burnout” is a reminder that doctors aren’t the only ones who get discouraged by the health care system, and that you can find ways to make the patient’s experience with your practice a happier one.

Telehealth after May 11 is possible, but keep track of the waivers’ expiration dates

03/20/2023

by: Julia Kyles, CPC

Check the expiration date for each COVID-19 waiver you use to provide telehealth as your practice prepares for the end of the COVID-19 public health emergency (PHE).

Medicare trims 15 minutes from prolonged hospital visit times

03/20/2023

by: Julia Kyles, CPC

Your providers will find it easier to hit the required time for a prolonged inpatient or observation visit thanks to a correction to the final 2023 Medicare physician fee schedule. The update, announced today, cuts 15 minutes from the threshold times for G0316 (Prolonged inpatient or observation services by physician or other QHP).

Tough Medicare Advantage risk adjustment, audits coming; pay impact seen

03/20/2023

by: Roy Edroso

Proposed adjustments to the codes used to risk-adjust Medicare Advantage rates have stirred discontent among physician groups as well as insurers, suggesting that these groups expect lower reimbursement as a result.

When will it end? Track PHE waiver expiration, watch for updates

03/20/2023

by: Julia Kyles, CPC

The COVID-19 public health emergency (PHE) will end May 11 and with it more than a dozen waivers that were created during the emergency will disappear. However, the end of the PHE will not spell the end of every waiver.

Modifier 25 stays down in ’21, yet practices reap fee gains

03/20/2023

by: Richard Scott

Medical groups posted some big numbers in their use of modifier 25 (Significant, separately identifiable E/M service), reporting over 65 million claims and clearing $5 billion in payments in 2021, the latest year of available data. While payments grew, the usage numbers remained down from pre-COVID highs just two years earlier.

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