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11/25/2024
Practices that treat patients who were eligible for telehealth services before the COVID-19 public health emergency (PHE) take note: Even though the original telehealth rules and requirements will be restored on Jan. 1, 2025, CMS will hang on to a few waivers, including a permanent change for audio-only services.
11/25/2024
Infectious disease specialists should take note of the user-friendly adjustments and clarifications that CMS made to the final version of the new infectious disease consultant add-on code that will go into effect Jan. 1, 2025. For example, CMS clarified that eligible qualified health care professionals (QHP) can report the service.
11/25/2024
Question: I recently read about a third-party biller who was charged with health care fraud and eventually entered a plea agreement — but the practice he worked for was not charged. I thought fraudulent medical billings were always the responsibility of the provider whose services were billed. Is it possible for a biller to be guilty but not the provider?
11/25/2024
At its core, the National Correct Coding Initiative (NCCI) is designed to reduce improper coding and billing practices across CMS programs. Keep up to date with policy manual changes and the latest modifier guidance to keep your claims accurately processed.
11/25/2024
In the rates for Medicare-payable services codified in the physician fee schedule final rule, losers outpace winners — and the winners aren’t doing so well, either.

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