News & Analysis

March 11, 2019
News & Insights

Q: What's the process for a fourth level Medicare appeal?

March 8, 2019
News & Insights

Q: Is it ever appropriate to report an E/M service on the same date of service as a scheduled drug administration service?

March 8, 2019
Case Management Monthly

The latest Biennial Health Insurance Survey released by the Commonwealth Fund, a private foundation that aims to promote a high-performing healthcare system, finds that a growing number of Americans are struggling with insurance-related problems.

March 7, 2019
Medicare Insider

This week's note from the instructor examines new information from CMS on the usage of modifiers -59 and -X{EPSU}.

March 7, 2019
News & Insights

Q: A pain specialist practice called to set up an apointment for my wife while she was out. She has various medical problems, and I am often in contact with her doctors. I asked if I could set up the appointment, and they said it would be a HIPAA violation to speak to anyone other than the patient about their schedule. Is that correct?

March 6, 2019
News & Insights

Accountable care organizations that have switched tracks to take on downside risk tend to be larger, located in urban areas, and more successful on financial metrics, according to a recent report. However, the report did not find any significant relationship between switching to downside risk tracks and improvement on quality or public health metrics.

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