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05/05/2025
Vacation season is about to begin. As more physicians head off for a summer break, practices increasingly will report the services of a substitute provider. But whether a physician will be out of the office for vacation, sick leave, maternity leave, paternity leave or any other reason, your practice needs to review the key points for reporting a substitute physician’s — or some physical therapists’ — services.
05/05/2025
The recent HHS announcement of an autism “registry” caused an outcry and a pullback. It also raised the question: How safe is your vulnerable patients’ data when the government demands it, and what can your patients do, and what should they know, if they have concerns?
05/05/2025
You can turn to modifier 25 to help secure complete reimbursement for E/M services, but only when reported appropriately.
05/05/2025
Your final opportunity to respond to the Open Payments data reported against your providers is Thursday, May 15.
05/05/2025
When it is time for physicians to take a break, they are significantly more likely to bring in a fee-for-time provider, formerly known as a locum tenens, than to rely on a reciprocal billing arrangement, according to a review of Medicare Part B claims data from 2013 to 2023.
04/28/2025
A traveling nurse convicted of tampering with morphine raises the question: How responsible is your practice for outside clinical providers hired on a freelance basis?
04/28/2025
Download the latest set of technical corrections from the AMA and be ready to share relevant sections when you appeal denials of your telemedicine services (98000-98016).
04/28/2025
Whether your practice specializes in psychiatric services or wants to add a specialist to your practice, you must know what’s required for commonly reported services. Your research should start with who performs the services.
04/28/2025
Lately CMS has shown an interest in advancing its use of artificial intelligence (AI) in health care — possibly shading more into clinical use. But experts say there are still red lines that even this go-fast administration wouldn’t be likely to cross.
04/28/2025
Practices that turned to the “separate structure” modifier XS in place of modifier 59 found greater success in their claims approval rates across a variety of services.

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