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The independent dispute resolution process with which HHS implements the No Surprises Act has been blocked for a third time by a Texas court.
 
 
Today HHS announced 10 drugs that, under the Inflation Reduction Act of 2022 (IRA), will be priced for Medicare Part D purposes by direct negotiation with their manufacturers, rather than by paying the rate offered.

 
 
Practices that perform trigger point injections (20552-20553) should read Noridian’s proposed local coverage determination (LCD) for the service. The LCD could be the model for a uniform LCD that several Medicare administrative contractors (MAC) adopt.
 
Practices that perform telehealth services on platforms that are not HIPAA secure have a few hours to switch to a secure platform or stop performing real-time audio/visual telehealth services. The HHS Office for Civil Rights’, enforcement discretion that allowed telehealth via certain platforms that don’t meet HIPAA’s strict standards is set to end at 11:59 p.m. tonight.
 
By now, most practices should be aware of the JW and JZ modifiers, which you are to append to codes for single-dose drug containers that you bill to Medicare Part B.
 

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