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03/02/2020

Currently, CERT auditors may be looking into your use of 99238 (Hospital discharge day management; 30 minutes or less) and 99239 ( … ; more than 30 minutes). If so, it may have to do with their unusual usage pattern relative to other pairs of time-based codes, in which the longer-duration, higher-price 99239 has increased in use while the shorter-duration, lower-price 99238 has declined.

02/25/2020

A court ruling has obliterated the HHS guidance that requires your practice to charge third parties the same low price as patients for medical records. You currently don’t have much recourse if the patient just claims the records are for him or her -- but you should prepare yourself for regulation or sub-regulation that may provide it soon.

02/24/2020
You’ll find a wide range of CPT and HCPCS codes that have been assigned medically unlikely edits (MUEs) this year, and it is imperative for you to know how to utilize the new information. 
02/24/2020
Take heart if you’ve been getting denials this year for therapy evaluations (97161-97172) when reported with one-on-one therapy activities (97530) or group therapy procedures (97150).
02/24/2020
A court ruling has obliterated the HHS guidance that requires your practice to charge third parties the same low price as patients for medical records. 
02/24/2020
Your clinic or office should take note of the revised immunization standards that the CDC and other medical organizations recently posted.
02/24/2020
You’ll find a wide range of CPT and HCPCS codes that have been assigned medically unlikely edits (MUEs) this year, and it is imperative for you to know how to utilize the new information.
02/24/2020
The influenza vaccine remains at the fore of preventive medicine, yet reports support the notion that American adults are balking at this type of service.
02/17/2020

News reports of deaths and illnesses from the rapidly spreading coronavirus get scarier every day. Millions of people are being quarantined. Foreign companies and governments are evacuating their people from hard-hit areas of China where the virus got its start. And even employees who don’t travel for work are getting anxious about traveling coworkers who may have been exposed.

02/17/2020

A new CMS position involving acupuncture and Medicare coverage is being called “historic” and “monumental” and will become a possible first step in reversing denial rates when billing and coding CPT codes 97810-97814.

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