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We talked to Lisa Maciejewski-West -- president and owner of Gold Star Medical Business Services in San Angelo, Texas, and a faculty member of the Practice Management Institute (PMI) – about the new DMEPOS final rule and its possible impact on providers.

She expects the pre-authorization scheme will be troubled and "revisited and revised until a workable solution is found."

The SGR is gone, but those pesky claims holds that have heralded the start of each year are still around.

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.)

Six medical provider organizations have sent an appeal to Congress, asking that they overturn a CMS rule that puts biosimilar drugs of the same kind under one payment code, saying it will discourage innovation and harm patient safety.

Come 2016, be prepared to adjust your billing protocol for transitional care management (TCM) services, reflected in codes 99495 and 99496.

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