October 10th 2024
"If the documentation supported the use of modifier –22, it should be appended," write Jonathan Rubenstein, MD, and Mark Painter.
September 27th 2024
New rule proposed by CMS could expedite prior authorization process
December 14th 2022"The prior authorization and interoperability proposals we are announcing today would streamline the prior authorization process and promote health care data sharing to improve the care experience across providers, patients, and caregivers – helping us to address avoidable delays in patient care and achieve better health outcomes for all,” said CMS Administrator Chiquita Brooks-LaSure.
More access to records is good for your patients—and for you
November 28th 2022"Instant and electronic access by patients to the electronic health record upends some long-established physician-centric traditions of medical practice and documentation and raises some concerns," writes Robert A. Dowling, MD.
How to get reimbursed for multiplex PCR urine cultures
November 8th 2022"Although Medicare has developed previous coverage directives for several types of PCR tests outside of UTI detection and there are sound arguments for the use of PCR tests in detecting UTIs, Medicare only recently published a local coverage determination that included the use of PCR tests for UTI detection," write Jonathan Rubenstein, MD, and Mark Painter.