Should Sen. Bernie Sanders’ Medicare-for-all legislation pass, experts think the likely outcome is more people going to the doctor — who may get less money for treating them.

Question: We have multiple practice locations... What happens when a patient leaves one practice, goes to a different practice and sees a new doctor of the same specialty? Is the patient new or established for his first visit with the new doctor at the new practice?

Question: My doctors are concerned that when patients come to our office for wound care (debridement of an ulcer), they are losing money by not being able to bill a separate office visit. I have explained that modifier 25 (Significant, separately identifiable E/M service) has limitations, but their argument is that they may be changing medications, off-loading shoes, orthotics, etc., to accommodate the wound and the area surrounding that. My question is: With enough documentation, can they bill the office visit too?

Many specialty groups beyond primary care took in significant chronic care management (CCM) payments in 2015, with the $31.3 million in reimbursement spread across dozens of specialties.

Take stock of the latest code bundles from CMS in the Correct Coding Initiative version 23.3 update — you’ll find new edits affecting how to bill critical care services in the emergency department, drug-testing codes, obesity counseling and more.

If a payer is threatening to recoup alleged overpayments and doesn’t have an appeals process (or has only a shell of one), make sure you get the protection to which you’re entitled — and use state or federal law to get them to pay attention.