Insights
Notes on reimbursement, audits, coding, and the rules that move a healthcare revenue cycle.
NCCI
December 28, 2021
It is that time of year where updates are abound. The National Correct Coding Initiative (NCCI) manuals are updated every year reflective of coding changes and Centers for Medicare and Medicaid…
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Surprise Billing
December 16, 2021
While you were celebrating the No Surprises Act designed to protect patients from surprise medical bills by removing them from payment disputes between health insurers and out-of-network…
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CMS MPFS
December 10, 2021
2,414. That’s the impressive number of pages in the 2022 Medicare Physician Fee Schedule Final Rule published on November 2, 2021. In this article, we’ll provide a summary of what’s new for…
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Rivet Health Law in the News
November 14, 2021
The Lawyers of Distinction is pleased to announce that Joe Rivet of Norton Shores has been certified as a distinguished member of our organization as a 2021 Power Lawyer. The Lawyers of…
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Payor Audits
October 15, 2021
It is becoming increasingly common that payors downcode certain services provided in emergency departments and even office visits without reviewing records. Generally, those plans that have…
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Ambulance (EMS)
September 2, 2021
The Centers for Medicare & Medicaid Service (CMS) has announced the implementation dates creating a national expansion of the Prior Authorization Model for Repetitive, Schedule Non-Emergent…
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CMS Update
August 19, 2021
Look closely at your commercial contracts. It is very likely it requires providers and staff to take fraud, waste, and abuse training offered by Centers for Medicare & Medicaid Services (CMS). For…
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CMS Update
August 11, 2021
Currently, Transvenous (Catheter) Pulmonary Embolectomy is not covered by Medicare as it is still considered experimental. CMS is proposing to remove National Coverage Decision 240.6 and allow the…
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Telehealth
July 27, 2021
Illinois Governor Pritzker signed legislation expanding telehealth access. The law was signed and became effective July 22, 2021. Below is a summary of and major points of the law. Public Act…
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