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If you are one of the qualifying APM participants (QPs) who earned a lump sum incentive payment for your hard work for an advanced alternative payment model (APM) in 2017, congratulations!
 
Practices that treat substance use disorders (SUD) and perform urine drug testing take note: The HHS Office of Inspector General (OIG) added urine drug tests for SUD patients to the agency's Work Plan in its October 2019 update.
 
 
In the current issue of Part B News we talk about a new report from CAQH that calculates the average cost per month for directory maintenance at close to $1,000, and how practices can reduce that. Ron Ungwase, a senior product manager with CAQH, talked to us about the interoperability issues that have helped make things so difficult, and how the problem might be resolved in the future.

A downstate New York ophthalmologist stands accused of misrepresenting simple eyelid procedures as much more complicated surgeries and billing millions more than he should have for them.

Richard Scott, our man on the ground at the AMA's annual CPT and RBRVS Symposium in Chicago, gets the latest code news on stab phlebotomy, chornic and principal care, BP self-monitoring, and the new E/M standards. 

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