Proposed 2019 Physician Fee Schedule Threatens Single Fee E and M Payment Rates
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Proposed rule will cut by 50% claims submitted with modifier 25. In what is being reported as the biggest change of its kind in more than two decades, the Centers for Medicare & Medicaid Services (CMS) plans to redefine the documentation requirements for evaluation and management (E&M) coding in 2019, along with flattening payments
for new and established patient office visits to a single pay system.
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Proposed Revisions to Global Diagnostic Manual for Autism Raise Concerns
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The proposed new version of the global manual for diagnosing medical conditions gets many things right about autism — but some items diverge from the manual’s American counterpart and are provoking concerns from scientists. Specifically, the manual lists
eight...
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Life Expectancy Drops Because of Opioid Epidemic, Severe Flu Season
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Life expectancy is declining in high-income counties across the world because of the opioid epidemic and a worsening flu season, according to studies published in BMJ, MDLinx reports. Here's what you should know:
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Why Medicaid Expansion Is Good For Your Heart
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In a boost for cardiovascular care in the U.S., new research shows those suffering heart attacks and strokes were less likely to be uninsured for their hospital stays after states expanded Medicaid under the Affordable Care Act.
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GAO Findings on Prior Authorization and HATA’s Survey
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In a recent report to the U.S. Senate Committee on Finance, the Government Accountability Office (GAO) was asked to examine the Centers for Medicare & Medicaid Services’ (CMS’s) prior authorization programs, including its benefits and challenges. The GAO spoke with many providers, suppliers,
and...
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