Dec 17, 2017Recap of 2017 HIPAA Cases and GuidanceIn 2017, the OCR assessed fines and exacted settlements in 10 cases that it reported on its website, and also issued new guidance on 5...
Dec 11, 2017What's New in Chronic Pain for 2018UDT Confirmation Reimbursement. Medicare reimbursement for confirmation codes G0480-83 will be reduced 10% per year for the next 3...
Dec 11, 2017The Colonoscopy Conundrum1. Code Deletions and Additions. For 2018, ASA codes 00740 (upper GI) and 00810 (lower GI) are deleted, and in their place are 5 new...
Oct 4, 2017Reduced UDT Rates Proposed by CMSOn September 22, 2017, CMS released a proposed material reduction to the Clinical Laboratory Fee Schedule (“CLFS”), affecting urine drug...
Sep 5, 2017Stopping Medicare Recoupment on AppealMedicare released a new MedLearn Article (MM9815) on September 1, 2017 clarifying the rules on stopping Medicare from recouping money...
Jul 5, 2017New QMB GuidanceOn June 28, 2017, Medicare issued an amendment to the QMB (Qualified Medicare Beneficiary) rules. It is illegal to bill a QMB (patient...