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CMS: In AWV, SDOH assessment can occur days before visit; append modifier

05/20/2024

A Change Request pertaining to the use of social determinants of health (SDOH) risk assessments during a Medicare annual wellness visit (AWV) stresses provider flexibility as to how they conduct the assessment. That should make it easier to handle the extra steps required.

Must you rehire suspended providers who get their license back? Look to contract.

05/20/2024

by: Roy Edroso

Question: I understand that when providers lose their medical licenses they can be fired or removed from a partnership agreement because not having a license prevents them from doing their job, i.e., treating patients and being paid for it. But sometimes these providers get their licenses back. Are there circumstances under which they must be rehired by their former practice?

Manage and engage remote staff with these strategies

05/20/2024

by: HCPro staff

Revenue cycle staff are among workers in many industries that are making the shift to remote work. Although there are benefits to working from home, some managers may find themselves struggling to adapt to the changes.

Alert: NIST publishes Cybersecurity Resource Guide for HIPAA security compliance

05/20/2024

by: Dom Nicastro

The National Institute of Standards and Technology (NIST) published NIST SP 800-66 Rev. 2 in February. You can turn to the publication to gain practical guidance and to safeguard health information and better understand the security concepts discussed in the HIPAA Security Rule.

G0136 joins select group of codes cleared for use with modifier 33

05/20/2024

by: Roy Edroso

A new billing policy requires that modifier 33 (Preventive services) appear with the social determinants of health (SDOH) assessment add-on code G0136 on all such claims submitted with annual wellness visits (AWV). This will mean a big change in that modifier’s utilization, which has mainly been limited to four codes (and overwhelmingly used for just one).

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