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Medical practices that run labs are in for fluctuating reimbursement come Jan. 1, with 897 lab codes in line for a 10% dip in payment and another 109 codes seeing a pay boost of 10% or more.
The therapy cap exception process – due to expire at the end of this year – may be extended permanently, though physicians may be paying for it with reductions to their Medicare fees.
The new National Correct Coding Initiative (CCI) manual contains an early holiday treat for anyone who wants to know more about bilateral services, medically unlikely edits (MUEs), and how the two interact.
Providers in Harrisburg, Pa., Cincinnati, Ohio, Gainesville, Fla. And Lubbock, Tex., may not be applauding a new CMS final rule that scales back Medicare’s Comprehensive Care for Joint Replacement (CJR) program next year. That’s because in those localities — as well as 30 other high-cost areas — the CJR program continues to be mandatory next year.
Many of your Medicare patients will be facing higher monthly Part B premiums next year, even though the standard premium will hold steady at $134.

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