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05/06/2024
On April 24 the Federal Trade Commission (FTC) previewed its final rule on noncompete agreements (NCA), which effectively bans the practice for most workers in for-profit businesses. The rule would have a direct effect on the restrictive covenants that practices often use to prevent departing physicians from setting up shop nearby.
05/06/2024
Watch for a new Medicare Part B benefit designed to prevent human immunodeficiency virus (HIV) infection. Consider whether your practice should offer the services and be ready to answer your patients’ questions.
05/06/2024
Question: What documentation criteria are required to report CPT critical care codes 99291-99292?
05/06/2024
Practices have learned to avoid coding mistakes that trigger denials of advance care planning (ACP) services (99497-99498). The time-based services were introduced in 2015 and Medicare covered the codes in 2016.
04/29/2024
Make sure your HIPAA compliance toolkit includes a few sticks to punish employees who violate your practice’s compliance guidelines, along with any carrots you use to reward compliance. And warn staff that the practice can’t let violations slide: Sanctions for HIPAA non-compliance are mandatory and the threat of punishment is designed to encourage compliance and safeguard patients, protected health information (PHI) and your practice from a breach.
04/29/2024
Question: I have seen stories in the press about practices charging “administrative fees” for calls, emails and texts from patients. I can’t see how this would be allowed by insurers. Can I really charge for this?
04/29/2024
Question: Our Medicare administrative contractor (MAC) has adopted the new local coverage determination (LCD) for trigger point injections (20552-20553). The LCD limits the number of trigger point injections a patient may receive to three sessions per rolling 12-month period. Will the April 24 visit count as the third injection under the LCD?
04/29/2024
In a significant development underscoring the growing threat of cyberattacks in the health care sector, the Office for Civil Rights (OCR) recently announced a settlement with Green Ridge Behavioral Health LLC concerning a ransomware attack that compromised the protected health information (PHI) of over 14,000 individuals.
04/29/2024
04/29/2024
Make sure your orthopedic practice is up to date on coding for injected methylprednisolone acetate (ster-oid). Effective for date of service April 1, codes J1020, J1030 and J1040 are no longer active. Instead, practices should use a new code, J1010 (Injection, methylprednisolone acetate, 1 mg).

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