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04/29/2019
Utilization of 77401 (Radiation treatment delivery, superficial and/or ortho voltage, per day) has been skyrocketing in recent years but CMS’ other radiation treatment codes have been going the other way.
04/22/2019

Channel your tech savvy and prepare for a flight into the digital future now that CMS has loosened the reins on telehealth services for Medicare Advantage (MA) carriers in 2020.

04/22/2019

A proposed new national coverage determination (NCD) on ambulatory blood pressure monitoring (ABPM) may open up this service to a whole new subset of your patients – but also requires some investment on your part.

04/22/2019

You’ll soon find a reprieve when you turn to modifier 59 (Distinct procedural service) because you will be eligible to append the modifier to either code in a Correct Coding Initiative (CCI) bundled pair, CMS announced in a Feb. 15 transmittal.

04/22/2019

Question: In the “Charges Imposed by Immediate Relatives of the Patient or Members of the Patient’s Household” section of the Medicare Policy Manual, CMS lists several categories of persons whose treatment cannot be billed to Medicare when the related provider treats them. But if a doctor who is not related to me supervises my treatment, but the NPP who actually performs the treatment incident-to is related to me, can the doctor charge for that? Also, if I’m the spouse of one of the doctors in a practice, are all the doctors in that practice prohibited from charging for my treatment?

04/22/2019
Cardiologists, internal medicine providers and nephrologists are the most likely specialty groups to report a series of ambulatory blood-pressure monitoring codes that, ultimately, don’t get much attention.
04/15/2019
With more doctors being picked up by law enforcement for the consequences of their opioid prescriptions, it’s a good idea to make sure your practice is protected from resulting legal problems.
04/15/2019
If your practice is not up to speed on providing equitable treatment to patients with disabilities, you may be running afoul of the law and leaving yourself legally exposed — not to mention providing a disservice to your patient care.
04/15/2019
Going forward, you’ll find laxer coding and documentation requirements when reporting home-visit services (99341-99350) after Medicare eliminated the long-standing rules surrounding medical necessity and made it easier for providers to get paid in place-of-service 12 (Home).
04/15/2019
Question: Our doctors sometimes have to cancel a procedure because of patient prep non-compliance, patient emergency, a fever, etc. Is it okay to just stick modifier 53 (Discontinued services) on the claim?

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