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08/26/2024
Protect your office/outpatient E/M claims from front-end denials and post-payment recoupments with the freshest information from Medicare administrative contractors (MAC).
08/26/2024
A new whistleblower pilot threatens to “supercharge” the range of qui tam suits brought against health care entities. Confer with your business insurers, counsel and compliance officers to prepare.
08/26/2024
The final rule “HIPAA Privacy Rule to Support Reproductive Health Care Privacy“ aims to safeguard sensitive protected health information (PHI) in the wake of the Supreme Court’s decision in Dobbs v. Jackson Women’s Health Organization. This landmark ruling has far-reaching implications, particularly in states with restrictive reproductive health laws, prompting a critical need for enhanced privacy protections.
08/26/2024
The Medicare billing numbers show a precipitous pandemic-era drop in utilization of modifier 78 (Unplanned return to the operating room by the same physician following initial procedure for a related procedure during the postoperative period). You may have expected that losing trend to slow as America began to recover from the pandemic in 2022. It did, but not by much. The total number of 78 citations slid from 65,857 in 2021 to 51,177 in 2022, a 22% loss.

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