10 / 14 / 2020
The Centers for Medicare & Medicaid Services (CMS) planned E/M office-visit guidelines and pay rates are scheduled to go into effect January 1, 2021. Get ready for these changes with...
7 / 30 / 2020
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 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
4 / 30 / 2020
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
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
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
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 to...
2 / 11 / 2019
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 will...