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Some MACs announce 14 day claims hold in 2016 (Updated)

12/28/2015

~~Two~~ Three MACs serving 13 16 states, citing "technical errors discovered after publication of the MPFS rule," announce they're holding Part B claims for 14 days in early January. (See Update.)

Cigna backs off on tough new modifier 25 policy – for now

5/25/2023

Just days before it was to take effect, Cigna announced it would “delay implementation” of a strict new policy for E/M services billed with modifier 25 (Significant, separately identifiable E/M service by the same physician on the same date as a procedure).

Providers in jurisdiction J: Say hello to a new MAC in 2018

10/12/2017

Medical practices in Alabama, Georgia and Tennessee will be saying goodbye to one Medicare administrative contractor (MAC) and welcoming a new one after the calendar flips to 2018.

MAC: If it’s not a signature, don’t write it on Medicare claims

10/3/2016

It’s only one Medicare administrative contractor (MAC) at the moment, but expect others to join this prohibition against handwritten entries on claims.

Eight CMS "Compare" sites merged into one, upgraded

9/3/2020

On September 3 CMS launched a new interface that combines its eight "Compare" tools for helping patients find appropriate medical care and facilities online.

Stay sharp: Feds’ health care enforcement is shifting — and expanding

5/10/2021

It’s time to reassess and update your practice’s compliance program. The government’s health care enforcement priorities are expected to shift with the new administration.

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