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Improper claims for specimen validity testing may be the latest compliance risk associated with urine drug tests.
Providers operating within the jurisdiction of National Government Services (NGS) should take stock of their recent chronic care management (CCM) claims. You may be seeing errant denials on good claims.
In a move that appears to be prompted by the U.S. opioid addiction crisis, Medicare has launched a national coverage analysis for acupuncture to address chronic low back pain (CLBP).
The QPP program promised bonuses of “up to 4%” in 2019 for clinicians’ reporting achievements in the first year of MIPS performance. But in reality, eligible clinicians are finding that their bonuses are more in the neighborhood of 2% of their Medicare Allowable payments.

To light a fire under Shared Savings accoutable care organizations (ACOs) that have been slow to take on double-sided risk, CMS finalized a rule today forcing them to take that risk on after two years rather than the current six.

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