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10/14/2024
A major medical group association sounds the alarm on the effect of impending Medicare cuts on physician practices, and experts agree that, if Congress doesn’t act, the alternatives are either longer hours for providers or cuts in staff and services. Yet there are options you can try to partly stanch the financial bleeding.
10/14/2024
Medicare patients who qualify for the new preventive service designed to protect them from the human immunodeficiency virus (HIV) will be eligible for up to eight counselling and screening services a year, according to the final version of the Preexposure Prophylaxis (PrEP) Using Antiretroviral Therapy to Prevent HIV Infection determination.
10/14/2024
The seventh quarter of the Medicare Prescription Drug Inflation Rebate Program kicked off this month with 54 Part B drugs for which Medicare beneficiaries will be given price breaks on coinsurance, some in the four-figure range.
10/14/2024
Brush up on the ins and outs of the visit complexity add-on code to secure extra dollars when billing it alongside appropriate E/M visits. In January 2024, CMS released guidance for the implementation of the office and outpatient (O/O) E/M visit complexity HCPCS add-on code G2211.
10/14/2024
The projected share of individuals under Medicare coverage will grow substantially over the next decade, accruing approximately 23% growth between 2024 and 2034. The Medicare surge is projected to happen while employer-sponsored plans also grow, but Medicaid numbers take a big hit.
10/07/2024
Make sure provider documentation supports your use of remote physiologic monitoring (RPM) services and urge providers to specify the condition or conditions linked to RPM services. Also, be sure to include RPM claims in your next internal review.
10/07/2024
Even if they’re just horsing around among themselves, it’s a good idea to circumscribe your employees’ use of TikTok in your practice — and not just for HIPAA reasons.
10/07/2024
From lacerations and burns to simple vs. complex conditions, coding in the emergency department (ED) comes with its own set of rules. Apply the following insights to your coding to efforts to ensure you are staying compliant.
10/07/2024
Share the latest Medicare physician fee schedule update to make sure staff have the current codes for drugs used for pain blocks, cancer treatment and sedatives administered for moderate sedation. The update went into effect Oct. 1, and if your practice submits deleted codes you’ll have to revise and resubmit faulty claims to get paid.
10/07/2024
Question: With the rise of telehealth services post-pandemic, what measures should health care organizations take to ensure HIPAA compliance and protect patient information in virtual environments?

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