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07/29/2019
Question: I have a common scenario that I encounter that I don’t know how to report. If my provider performs a technique to irrigate impacted cerumen in the clinic, but the removal of ear wax is not actually achieved, can I still report CPT code 69209 (Removal impacted cerumen using irrigation/lavage, unilateral)?
07/29/2019
Practices are seeing a downward trend in revenue for cerumen-removal services even as the total number of claims was buoyed in recent years with the arrival of CPT code 69209 (Removal impacted cerumen using irrigation/lavage, unilateral).
07/22/2019
Should new legislation prove successful, you could sail directly into chronic care management (CCM) services without charging your patients a co-pay, a factor that many practices and medical societies consider an obstacle to ramping up these types of care coordination efforts.
07/22/2019

In a surprise move, the Trump Administration withdrew a rule it had described as important to its mission to reduce drug prices.

07/22/2019

You’re officially within six months of the Medicare beneficiary identifier (MBI) switch deadline. To ensure a smooth transition, check your patients, check the record and, if necessary, talk to the relevant vendors.

07/22/2019

Keep an eye on the level of your E/M encounters, along with the total amount of claims, because auditing bodies are doing just that. A recent Comparative Billing Reports (CBR) assessment lobbed cautionary letters at family practice providers whose E/M trends bucked the norm.

07/22/2019

The recent discussion of ways to hold down drug pricing is needed, as you can see by the latest quarterly average sales price (ASP) update issued by CMS. The ASP update shows the upper limit on prices to which providers will be allowed to add a surcharge of 6% in the 3rd quarter of 2019.

07/15/2019
As patient debt becomes an urgent issue, resist the temptation to crack down too hard and risk alienating patients. Instead, turn to technical and marketing-based solutions to get more of that money up front.
07/15/2019
Watch out when reporting diagnostic services. Insufficient or missing documentation is causing practices to run afoul of Medicare requirements, and that puts you at risk of denials from your Medicare administrative contractor (MAC).
07/15/2019
The growing reach of consumer health-monitoring devices and prospects for Medicare payment may have you looking to hook up your own patients. But it may be that getting a practical medical result from wearables isn’t that easy — at least not yet.

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