CMS Updates
Important Message from Medicare Instructions
The staff at the Centers for Medicare & Medicaid Services (CMS) have been working overtime for the last two years. I have noted before their amazing efforts during the COVID-19 public health emergency (PHE), revising and nuancing the regulations to allow
medical care to continue to be provided to patients. But at the same time...
Telehealth, EHR Use Increases False Claims Act Violations, Fraud
Healthcare digitization, including increased use of telehealth and EHR has led to a higher volume of healthcare fraud and False Claims Act (FCA) cases, according to lawyers from Hogan Lovells.
COVID-19 pushes the trend toward office-based labs
COVID-19 has spurred innovation and growth, including the trend toward outpatient care at office-based labs. As a result of increased calls to keep patients out of the hospital and safe from infection during the pandemic, the Centers for
Medicare and Medicaid Services has encouraged procedures in the outpatient setting,
CMS E&M Changes: Some MACs are Getting it Wrong
The 2022 Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule Final Rule made significant changes to split/shared visit policies. Some of the changes are certainly welcome and long overdue.
New CPT® Codes for Principal Care Management Services
The Centers for Disease Control and Prevention (CDC) reports that 6 in 10 Americans live with at least one chronic disease, like heart disease, cancer, or diabetes. These and other chronic diseases are the leading causes of death and
disability in America, and they also contribute significantly to healthcare costs.
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