A new study published in JAMA found that a new Medicare add-on billing code boosted pay significantly for specialists. The study analyzed Medicare claims data from 2024, the first year that the G22111 ...
The doctors’ association is blowing up the U.S.’ decades-old coding system for recording pregnancy services and starting fresh next year, bowing to calls from OB-GYNs and other maternity specialists.
Health care prices are on the rise, and patients are flummoxed that even insurance companies aren’t doing more to control ...
In response to the report, CMS concluded that dermatologists are complying with modifier 25 coding rules and the agency will not impose any additional regulations in this area.
Under a managed care arrangement, Medicaid MCOs determine the rates they pay providers for inpatient hospital services. States make capitated payments to Medicaid managed care plans for Medicaid ...
Today, the U.S. Department of Labor (DOL) published a Notice of Proposed Rulemaking (NPRM) proposing to rescind the 2024 ...
Companies should also consider an internal audit of risky independent contractor decisions to determine independent contractor status under the core factors. Audits conducted in conjunction with legal ...
Colonoscopy billing can be very complex, hinging on distinctions between screening and diagnostic intent. A single ICD-10 code, CPT selection or missing modifier can shift a procedure from fully ...
A new JAMA study shows that a new Medicare billing code may have benefited specialists more than the primary care physicians it was designed to help most.
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