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7 / 30 / 2020

Modifier CS Usage

By
Jessica Sullivan
Modifier CS is used for the full reimbursement of COVID-19 testing visits from Medicare and private insurers. For services performed on March 18, 2020 through the end of the Public Health Emergency...
7 / 1 / 2020

PHC June 2020 COVID-19 Real Estate Practice Newsletter

PHC June 2020 COVID-19 Real Estate Practice Newsletter This Real Estate Practice Newsletter covers market activity and trends in certain regional market areas. Today is a brave, new world for...
5 / 28 / 2020

PHC April 2020 COVID-19 Real Estate Practice Newsletter

PHC April 2020 COVID-19 Real Estate Practice Newsletter
5 / 28 / 2020

COVID-19-Healthcare-Real-Estate

By
Curtis Bernstein
COVID-19-Healthcare-Real-Estate
4 / 30 / 2020

Posted by: Zach Stephens – 5th Circuit Decision on Materiality

News you can use…. Fifth Circuit Affirms Dismissal of Qui Tam Complaint Due to Lack of Materiality in Significant False Claims Act Decision The U.S. Court of Appeals for the...
10 / 2 / 2019

Clarifying Screening vs. Diagnostic Testing

If you have questions regarding the difference between a screening and a diagnostic test and when to bill for them separately-You are not alone! Let’s start by going over...
9 / 3 / 2019

Assistant-at-Surgery Indicators

By
Jessica Sullivan
When reviewing surgeries in order to determine whether an assistant is billable, coders and their providers should always be aware of what is needed in terms of necessity and documentation....
2 / 18 / 2019

CMS 2019 E/M Changes: Reduce Burden and Excel in Patient Care

By
Alysia Delozier
Documentation requirements for physician Evaluation & Management (“E/M”) visits have not been updated in 20 years.  On November 1, 2018, CMS finalized bold proposals that address provider burnout and...
2 / 11 / 2019

Critical Care is Critical to the OIG: Know the Requirements

In 2019, Office of Inspector General (“OIG”) added the review of critical care evaluation and management codes to their work plan for the Office of Audit Services. This review...
2 / 6 / 2019

2019 CPT Changes-E/M Services

By
Alysia Delozier
The biggest change and most talked about topic so far with the new 2019 CPT changes is telehealth. Home services have also been expanding in the medical field and  what...