July 19th 2023
Higher administrative costs hurt providers, but technology can help.
January 18th 2023
If you’re feeling burned out, don’t let third-party payer demands drive you out of medicine.
December 20th 2022
Lawmakers tout spending plan, but medical groups respond with ‘dismay,’ say seniors’ health will be at risk.
September 22nd 2022
The Medicare cuts are deeper than advertised.
January 14th 2022
Some telehealth provisions introduced to combat the COVID-19 pandemic have been continued until at least the end of 2023.
Reminder: Important Stark Effective Date and Physician Group Practices
On December 2, 2020, CMS published new provisions and exemptions related to the Stark Law (85 Fed. Reg. 77492) and HHS-OIG published new provisions and safe harbors related to the Anti-Kickback Statute (AKS) (85 Fed. Reg. 77684.
CMS increases payments for cognitive assessments and care plan services
Code accurately with the appropriate documentation to substantiate medical necessity.
Four best practices for your Annual Wellness Visit (AWV) engagement campaigns
Only a quarter of Medicare and Medicare Advantage recipients receive an annual wellness visit.
Remote Therapeutic Monitoring’s Debut: What you should know (for now)
The proposed rule, issued July 13, greatly expanded what was known and understood about RTM but still left many questions unanswered.
Preparation for appropriate use criteria is key to success
If providers fail to follow these new rules, claims will be denied, and eventually, those who are outliers on adherence to appropriate use criteria will be subject to prior authorization.
New CMS Appropriate Use Criteria mandate for CDSM will impact Medicare reimbursement
Don’t let your Medicare Part B reimbursement for advanced imaging be impacted by the CMS Mandate taking effect on January 1, 2022!
Key Medicare Advantage plan changes practices need to be aware of
Good news on telehealth coding, but lifting of EFRD restrictions will present financial challenges.
Specialty telehealth supports chronic disease management and boosts Medicare Advantage value
80% of older adults have at least one chronic disease, 77% have at least two, supporting the urgent need to increase telemedicine and digital monitoring adoption.
Q&A: Medicare screening changes and new E/M service codes
Why has Medicare separated depression and alcohol screenings, and will patients incur cost-sharing with new patient portal E&M codes?
Is Medicare Direct Contracting the right fit for your organization?
Program focuses on improving quality and reducing cost, while maintaining patient choice.
Q&A: Coding for Medicare Preventive and 20-minute visits
How not complying with Stark laws can put your practice at risk
Most physician compensation structures must comply with Stark laws. The danger is that practices may be in violation without realizing it, putting themselves at risk of fines and exclusion from Medicare and Medicaid.
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