News & Analysis

December 21, 2022
Briefings on APCs

Medicare finalized a care management service for chronic pain management (CPM). Effective January 1, CPM services can be reported by a wide range of providers, including primary care practitioners.

December 14, 2022
Medicare Insider

This week’s Medicare updates include the January 2023 OPPS update transmittal, a proposed rule on interoperability and improving prior authorization processes, billing instructions for home or residence services, and more! 

December 14, 2022
Briefings on HIPAA

In September, the Office for Civil Rights (OCR) released its fall 2022 data for enforcement. Covered entities (CE) and business associates (BA) can review this data to determine areas that most commonly trigger enforcement on behalf of the government’s regulator for the HIPAA Privacy and Security rules.

December 14, 2022
Briefings on APCs

CMS confirmed in the 2023 Medicare Physician Fee Schedule final rule that it will adopt the framework of the revised AMA E/M guidelines, including payment based on medical decision-making (MDM) or time, effective January 1, 2023. Laura Evans, CPC, explains how the agency will diverge from the AMA on some points, however.

December 7, 2022
Medicare Insider

This week’s Medicare updates include instructions on billing CAR T-Cell therapy in a physician office, revisions to an MLN booklet on Medicare coverage for power mobility devices, an implementation transmittal for the FY 2023 IPPS, and more! 

November 30, 2022
Medicare Insider

This week’s Medicare updates include an OIG review on compliance with Medicare regulations for billing advance care planning services, an update to the cost report for independent renal dialysis facilities, and more! 

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