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03/25/2019

In recent months, CMS has made a play at revamping how E/M services are documented and paid for, and the AMA is working in earnest on a rebuttal. Now the Medicare Payment Advisory Commission (MedPAC) is weighing in on the debate and urging lawmakers to be careful about the value attached to E/M codes.

03/25/2019
Private health insurers are getting aggressive about auditing providers and prosecuting what they see as fraud — and you should take any communication from them on that score very seriously.
03/25/2019
A sudden shortfall in Blue Cross Blue Shield (BCBS)Vermont payments, and the trouble it’s causing some small practices, is a reminder that you should have a financial cushion for your practice in case of emergencies — and make sure to keep it up to date.
03/25/2019

Question: My pain management practice is using two forms of risk assessment questioning for our pain management patients -- one cpmputer-based, one on paper. However, the 2019 codes are completely different tham what we were using. How do we code them now?

03/25/2019

Various specialties tend to generate different amounts of work relative value units (RVUs) under CMS’ current pricing system, and those differences are tied to payment chasms, a March 15 report from the Medicare Payment Advisory Commission (MedPAC) states.

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