After the OIG identified a high error rate for Place of Service (“POS”) modifiers over several years, the Centers for Medicare and Medicaid (“CMS”) issued a billing and coding revision (CR 7631) to instruct any physician,...more
Beginning January 1, 2013, physicians in the same practice group who provide certain diagnostic imaging services may be required to bill at reduced rates, due to a broadened application of the Multiple Procedure Payment...more
On December 19, 2012, CMS issued a notice advising physicians of impending payment cuts to the Medicare Physician Fee Schedule. For calendar year 2013, the sustainable growth rate formula (SGR) calls for a 26.5% cut in...more
On November 16, 2012, the Centers for Medicare & Medicaid Services ("CMS") published a final rule making various changes to payment policies under the Physician Fee Schedule. Included in this rule is a new requirement that...more
CMS has released its Calendar Year (CY) 2013 Final Rule for practitioners who are paid under the Physician Fee Schedule (PFS). CMS anticipates that many non-primary care specialties will see a decrease in payments under the...more
In This Issue: - Medicare Finalizes 2013 Physician Payment Schedule - Ohio Court Rules That A Court CAnnot Compel A Terminated Employee To Return PHI To The Former Employer - Insurer’s Antitrust Action AGainst...more
On November 1, 2012, CMS announced the Physician Fee Schedule rates for 2013, implementing a 26.5 percent rate reduction required under the sustainable growth rate (SGR) formula. The SGR is a statutorily required rate...more
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