News & Analysis

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 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.

March 6, 2019
News & Insights

Q: Is there a difference between a conflict of interest and a dual relationship for a case manager?

March 6, 2019
Medicare Insider

This week’s Medicare updates include an in-depth MLN Matters article on the clinical laboratory fee schedule data collection and reporting requirements, a memorandum on skilled nursing facility late adopters, a listing of public meetings on requests for revisions to HCPCS codes, and more!

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