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CMS Offers ICD-10 Advice for the Home Stretch

The Centers for Medicare and Medicaid Services has just released a fact sheet on preparing for ICD-10. This latest message offers suggestions for providers whose information systems may not be…

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Medicare Coding Errors to Avoid: Add-on, Place of Service, and Modifiers

Medicare audits have revealed recurring errors in billing with add-on and place-of-service codes. In addition, Medicare continues to receive claims that appear to be duplicate because they lack an appropriate modifier. Here are some guidelines for correct billing.

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Pharma Pushes CMS for Transparency on Sunshine Database

With just one week left before the launch of the controversial Open Payments database – which will reveal how much money doctors receive from drug and device makers – three…

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Physicians May Soon Be Paid For End-of-Life Discussions

The American Medical Association (AMA) has submitted codes that could finally lead to Medicare reimbursement for end-of-life and advanced care conversations, five years after a previous effort was squashed when…

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An Out-of-Control Medicare Audit

What happened to Eastern Carolina internal Medicine (ECIM) in Pollocksville, North Carolina is a provider’s nightmare about government oversight run amok. A Medicare audit began as a medical records request.…

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