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A law enforcement warrant overrides HIPAA when it comes to the seizure of protected health information (PHI) -- but what about a legislative subpoena? That's being asked in Missouri, where lawmakers are trying to access patient records -- but two Part B News experts think they don't have a case.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

A report live from this year's AAPC HealthCon shows some payers are accepting X modifiers in place of modifier 59 and more.
If you encountered bad links on CMS' quality reporting pages, the coast should be clear.

The Comprehensive Primary Care Plus (CPC+) model announced April 11 by CMS will work with private insurers to pay participating primary care providers a per beneficiary per month (PBPM) fee, allowing them to design their own care choices for patients, including services not currently paid under the Medicare fee-for-service model.

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