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With Primary Care First ready to lift, check readiness, risk tolerance to see if it fits

12/02/2019

Now that the application process for Primary Care First is open, primary care providers should think seriously about whether this is the time to jump into a value-based model — and whether theirs is the kind of practice that would benefit.

OIG report on CCM errors a warning to tighten up billing before CMS does

12/02/2019

by: Roy Edroso

Though the dollar figures aren’t big, OIG’s report on faulty chronic care management (CCM) billing should be concerning for any practice billing those codes, especially since some of the problems have no simple answers.

Find ‘simplified,’ ‘standardized’ approaches under 2020 documentation changes

12/02/2019

by: James Dresbach

You can expect more initials, signatures and hands involved in medical record documentations as CMS prepares to make the physician fee schedule final rule effective Jan. 1, 2020.

Medicare OKs esketamine therapy for major depression, but prepare for hurdles

12/02/2019

by: Julia Kyles

An interim final rule with comment period in the final 2020 Medicare physician fee schedule creates a new service for patients with depression who have not responded to oral anti-depressants. However, the treatments will include some unusual rules for practices and patients.

X-ray codes highlight list of top fee gainers in 2020; dozens drop double digits

12/02/2019

by: James Dresbach

Radiology procedures are leading the way in a list of the largest gainers, by percentage, of updated service fees come Jan. 1, according to an analysis of the final Medicare 2020 physician fee schedule.

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