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10/14/2024
The projected share of individuals under Medicare coverage will grow substantially over the next decade, accruing approximately 23% growth between 2024 and 2034. The Medicare surge is projected to happen while employer-sponsored plans also grow, but Medicaid numbers take a big hit.
10/07/2024
Make sure provider documentation supports your use of remote physiologic monitoring (RPM) services and urge providers to specify the condition or conditions linked to RPM services. Also, be sure to include RPM claims in your next internal review.
10/07/2024
Even if they’re just horsing around among themselves, it’s a good idea to circumscribe your employees’ use of TikTok in your practice — and not just for HIPAA reasons.
10/07/2024
From lacerations and burns to simple vs. complex conditions, coding in the emergency department (ED) comes with its own set of rules. Apply the following insights to your coding to efforts to ensure you are staying compliant.
10/07/2024
Share the latest Medicare physician fee schedule update to make sure staff have the current codes for drugs used for pain blocks, cancer treatment and sedatives administered for moderate sedation. The update went into effect Oct. 1, and if your practice submits deleted codes you’ll have to revise and resubmit faulty claims to get paid.
10/07/2024
Question: With the rise of telehealth services post-pandemic, what measures should health care organizations take to ensure HIPAA compliance and protect patient information in virtual environments?
10/07/2024
Providers can use remote physiologic monitoring (RPM) to treat a range of acute and chronic condition. But according to a recent evaluation and inspection report from the HHS Office of Inspector General (OIG), essential hypertension topped the list of primary diagnosis codes on claims for RPM services (99091, 99453, 99454, 99457, and 99458).
09/30/2024
The result of the 2024 presidential election, whichever way it breaks, promises a reprise and perhaps some small advances on health care policies you’ve seen before. As to financial impact on providers, the real power for change appears to lie elsewhere.
09/30/2024
A national warning on third-party billers should serve as a reminder to all providers who bill Medicare for their services: They must know enough about coding and billing rules to check up on claims submitted in their name to protect themselves from accusations of fraud.
09/30/2024
Question: Is there any law that says a medical provider can’t date one of their patients?

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