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On Jan. 22, Part B News covered recent rulemaking and changes in the IDR portal and processes -- new administrative fees, information requirements, open negotiation notices, etc. Adding commentary here on futher changes to those processes is Mena R. Francis, counsel in Mandelbaum Barrett PC’s Healthcare Practice Group and head of the Firm’s PIP Arbitration/Reimbursement Recovery Department.
 
The CDC posted updated FY2024 ICD-10-CM guidelines on Monday, Jan. 22, which included a sequencing update for sepsis due to postprocedural infection.
 
 
As flu season continues, stay up to date on the current national, non-facility pricing of influenza vaccines. The table below conveys 2023-2024 payment allowances on oft-reported vaccines, along with coding details. Also, don't forget to add an M code when performing in-home vaccinations.
 
 
The CDC recently released tabular addenda changes to the ICD-10 code set, effective April 1. Among the changes are revisions to the “Excludes 2” note found under J45 (Asthma).
 
Part B News recently covered an uptick in Medicare Advantage organizations' provider site audits -- and the possibility that auditors would try to interview providers' staff. Here with an expert perspective on how to handle that is former prosecutor Sam J. Louis of the Holland & Knight law firm in Houston.

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