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When coding under a risk-adjustment paradigm, capturing the full range of a patient’s chronic conditions takes on elevated importance. That’s because your payments, and ultimately your coding compliance, may be impacted.
An anesthesia group noticed that it had stopped receiving payments from a major private payer. The practice couldn’t figure out what happened.
Senate Democrats took a stab, but came up short at stopping the new short-term limited-duration plan rule that would allow beneficiaries to keep low-cost health insurance that doesn't meet ACA standards for up to three years.
A lie to an auditor about a rental in a practice space will mean jail time for a Florida doctor.
Practices are increasingly pivoting to chronic care management (CCM) services to improve their patients’ care and tap into an available revenue opportunity. In 2017, providers gained more than $103 million in CCM-related payments, a figure that’s up significantly since the service debuted several years ago.

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