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02/19/2024
A nurse practitioner and an OB/GYN have both paid fines stemming from their collaborative agreement. Consider this case a warning that such agreements require more attention up front than some practices may assume.
02/19/2024
The overall improper payment rate for Medicare claims dropped less than 1% in a recent review period, according to the 2023 comprehensive error rate testing (CERT) report, but the total Part B error rate rose almost 2%. The error rate includes over- and underpayments.
02/19/2024
If your physicians get involved in electoral politics, a former and current contender warns there are a few steps they need to take care of before tossing their hat in the ring, particularly when it comes to how the practice will carry on without them.
02/19/2024
CMS published a summary of its fourth quarter 2023 HCPCS Level II code update application decisions to its website January 30. The agency made a total of 58 changes with 36 added codes, four revised codes, and 18 deleted codes. The additional and revised codes mostly consist of injections, medications and skin substitutes. The codes and their respective effective dates are listed below.
02/19/2024
Question: A patient underwent a diagnostic nasal endoscopy at 10 a.m. At 7 p.m., the patient developed an epistaxis and the physician had to use some complex cauterizing techniques to control the nosebleed. How would the physician’s services in this scenario be reported?
02/19/2024
Shore up your documentation and strengthen your coding accuracy to ensure your claims aren’t falling into incorrect or fraudulent territory. The Comprehensive Error Rate Testing program under HHS found more than $3.7 billion in improper payments made to a series of E/M services, including more than $660 million in errors for a single E/M office visit code (99214).

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