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12/12/2016

Providers who offer chronic or transitional care management services should take note of the latest Work Plan from the HHS Office of Inspector General (OIG). These services are two of the six new Work Plan targets that are likely to impact physicians and non-physician providers who bill Medicare Part B.

12/12/2016

Practices that already increased employees’ salaries to avoid a new federal requirement to pay them overtime beginning Dec. 1 should examine whether that decision still makes sense.

12/12/2016

Watch out for a new specialty code for hospitalists going online for dates of service on or after April 1, 2017.

12/12/2016

Providers are riding an up-and-down wave of denials related to ear wax removal code 69210 (Removal of impacted cerumen requiring instrumentation, unilateral), a common service that providers billed more than 1.6 million times in 2015.

12/05/2016
The direction of major health care programs, from insurance exchanges to Medicaid expansion, may be a step closer to course reversal after President-elect Donald Trump tabbed new leaders for two key federal posts.
12/05/2016
Beyond repeal of the Affordable Care Act (ACA), the incoming Trump administration may change health care policy in ways that will directly impact your practice — particularly if health savings accounts (HSAs) are tapped as an alternative.
12/05/2016
Prepare to kick off the new year with a bang by taking stock of new codes for care management, behavioral health and preventive services and getting ready to overcome wrinkles to some core services, such as mammography.
12/05/2016
Include place of service code 02 (The location where health services and health-related services are provided or received, through telecommunication technology) on claims for telehealth services submitted on or after Jan. 1, 2017, to avoid denials.
12/05/2016
Medicare’s final 2017 physician fee schedule includes an annual update of changes to codes that constitute four categories of designated health services under the Stark physician self-referral rule.
12/05/2016
Pay close attention to your mammography coding in 2017 because several deleted codes and a delay in CMS payment processing means you’ll need to shift to current HCPCS codes to ensure you gain reimbursement.

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