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Some practices that frequently report E/M services with modifer 25 (Significant, separately identifiable E/M service) are on track to face a dramatic pay reduction.
After weeks of secret meetings, Senate Republicans have released a ‘discussion draft’ of their proposal to repeal and replace the Affordable Care Act and hope to rush the sweeping legislation to a Senate floor vote before the July 4 recess.
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.
Get a glimpse of the early returns associated with the Oncology Care Model during a May 11 live meeting.
The April 3 issue of  Part B News includes an article on getting value out of online and telephone codes Medicare won't pay for. One of our sources had some extra thoughts on how you can use online and telephone encounters to offer a care advantage that can also lead to increased reimbursement.

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