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Practices that treat CIGNA patients: Check that pile of unopened mail. In the provider edition of CIGNA's Network News, April 2017, the payer notes that it mailed initial requests for medical records to collect data for the Healthcare Effectiveness Data and Information Set (HEDIS®) in Februrary.
Keep a copy of Change Request 100076 to the Program Integrity Manual on hand if your practice uses scribes. It will help you fend off overpayment demands from auditors who try to ding your practice because the scribe didn't sign a chart. That's not how it works, CMS says in the Change Request.
Providers who were waiting for CMS to release detailed guidance on new moderate sedation codes 99151-99157 may have been disappointed by Change Request 10001: Payment for moderate sedation services.
DecisionHealth, publisher of Part B News, invites members of the practice staff community to complete the annual salary survey, and enter a drawing to win a $25 Amazon gift card.
Your Medicare administrative contractor (MAC) will send your practice a letter before the end of May to let you know whether you have to participate in the merit-based incentive payment system (MIPS) to avoid a pay cut.
 
 

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