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'Tis the season to stretch our gaze ahead to the new year -- and the new or revised Part B policies just days away from making a real impact on your bottom line.

Following allegations of improper use of modifier 59 to unbundle orthopedic procedures, a Pennsylvania health system and its orthopedic surgeon-CEO have agreed to pay federal authorities $12.5 million dollars.
Physicians may have a new tool at their disposal to find the lowest-priced drugs for patients should a proposed rule from CMS take effect as planned. The proposed rule, released Nov. 26, would require Part D plans to adopt a Real Time Benefit Tool that can alert providers to the current price of drugs available under a patient's coverage terms.
Take in some sun, gulp the sea air, spin the roulette wheel and … report an E/M home visit code. Under place-of-service clarifications in the 2019 CPT Professional book, your longed-for vacation site could become a new place of business.
Many practices are breathing a sigh of relief after CMS decided to hold off on critical payments changes for E/M services. But don’t get too comfortable just yet.

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