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09/11/2023
CMS recently released a national coverage determination (NCD) update to section 410.1.1 of the Medicare Claims Processing Manual, which covers requirements for CPT coding associated with acupuncture and dry needling services.
09/11/2023
Take note if your practice performs presumptive and definitive urine drug tests in its office lab. CMS will modify the new National Correct Coding Initiative (NCCI) edits that bundle definitive tests into the presumptive tests.
09/11/2023
CMS recently published a summary of its second quarter 2023 HCPCS Level II code update application decisions, accepting 16 of 24 submissions, according to MLN Connects.
09/11/2023
When subbing in a physician under locum tenens arrangements, the situation often involves diagnostic radiology services and cancer care. Among E/M services, hospital visits are more likely to involve a substitute physician than office visits.
08/28/2023
Patient abandonment is a real ethical and, sometimes, legal issue. Generally you have a right to refuse service if your reasons are sound. But you should follow guidelines and be extra attentive to any special care claim the patient may have on you.
08/28/2023
When it comes to ‘firing’ patients, dangerous and uncooperative patients are in most cases an easy call. But what about patients who through no fault of their own may be difficult for a practice to handle? Patricia A. Markus, a partner with the Nelson Mullins law firm in Raleigh, N.C., shares her expertise on such cases.
08/28/2023
CMS will allow providers to determine the substantive portion of a split/shared visit based on performance of a key element for another year. The delay may temporarily calm fears that time-based substantive portion calculations will equal serious cuts to physician pay and practice revenue.
08/28/2023
Part B News welcomes compliance expert Rebecca Herold to answer a series of questions pertaining to critical HIPAA compliance areas, such as risk analysis and risk assessment. 
08/28/2023
The latest CMS Medicare Enrollment Dashboard figures show Medicare Advantage (MA) about to overtake traditional Medicare in membership – and at least one major health care analyst group thinks it already has.
08/21/2023
A data breach at a Medicare subcontractor is bad news for affected beneficiaries — and a warning to practices that downstream providers may also be putting their files in danger.

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