This week’s Medicare updates include the first annual report on the Next Generation Accountable Care Organization model, a Special Edition MLN Matters article on when to review opioid use with beneficiaries, the introduction of a new way for Part D plans to manage formulary designs and options, and more!
Patient matching—associating the right patient with the right medical record—isn’t a new problem, but as the practice of medicine and reimbursement models become more data-driven, the stakes will continue to rise.
The professional case manager and nonlicensed case manager extender relationship is a valuable partnership. The nonlicensed case manager extender is able to assist the patient and follow the patient’s individualized plan of care with the guidance of the professional case manager.
Modifiers -25 and -27 are used in the outpatient facility setting on E/M services. Learn more about how these modifiers should be applied in accordance with coding and Medicare guidelines.
