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11/20/2023
It’s official: CMS will not allow split or shared billing for E/M office visits next year. In addition, CMS will not change prolonged visit code G2212 in response to the updated descriptors for office/other outpatient visits (99202-99205 and 99212-99215).
11/20/2023
While interest in the direct primary care (DPC) model of patient-pay physician practice remains keen, evidence of its adoption and efficacy is elusive, suggesting the decision to switch from a traditional insurance model is a highly personal one.
11/20/2023
The final 2024 Medicare physician fee schedule brings a bevy of new services and modifies current policies and coverage options. Find all the latest updates to prepare for a successful 2024, with revised policies and additions below.
11/20/2023
On October 13, the OIG published an Advisory Opinion regarding a proposed arrangement where an employer proposed to pay a bonus to its employed physicians based on net profits derived from certain procedures performed by the physicians.
11/20/2023
On October 11, CMS published a Final Decision Memo regarding the reconsideration of NCD 20.7 for Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting.
11/20/2023
The conversion factor may be pulling down fees in 2024, but some codes are bucking the trend. In some instances, CMS decided to recast the relative value units (RVU) tied to non-facility payments, and fees are jumping.

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