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Laboratory Coding for Accurate Reimbursement: A Comprehensive Guide

Medisys Compliance

Definitive drug testing (CPT 80320-80377): These codes are used for confirmatory testing, typically using more sophisticated methods like mass spectrometry, to identify specific drugs and their concentrations. CMS Guidelines The Centers for Medicare & Medicaid Services (CMS) plays a significant role in laboratory billing.

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ONC’s HTI-1 Places Undue Burdens on Healthcare Providers, Health IT Developers

Healthcare IT Today

However, it seems that the protracted regulatory promulgation process that preceded the publication of HTI-1 was not used by ONC to push back various deadlines originally included in the proposed rule, resulting in suggested timelines that would be insufficient to complete sizable development work.

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Properly Classify Grievances to Improve Member Experience using Inovaare’s Grievance Management Software

Innovaare Compliance

Operational teams—such as the Member Services Department and the Appeals & Grievances Department—have significant compliance regulations, so they must know to maintain compliance. This includes CMS regulations for Medicare Plans, regulations for Commercial Plans and Medicaid regulations for state plans.

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Pharma IT and AI – 2024 Health IT Predictions

Healthcare IT Today

Streamlining Regulatory Compliance with AI Automated Compliance Monitoring: In 2024, AI is predicted to automate the monitoring of regulatory compliance in drug development, efficiently tracking changes in global regulatory requirements and ensuring adherence to these evolving standards.

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Key Plastic Surgery Coding Tips for Accurate Reimbursement

Medisys Compliance

Modifier codes and their definitions may change over time. Plastic surgeons and medical billing companies can form a valuable partnership to enhance coding accuracy, improve documentation review, streamline claim processing, ensure regulatory compliance, and maximize reimbursement opportunities.

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Continuing Consolidation in Orthopedic Medicine

Healthcare Law Today

The entity is also prohibited from billing Medicare or, possibly, Medicaid for such referrals. It is noteworthy that requirements of the IOAS, including compliance with the definition of “group practice” are well beyond the scope of this discussion, but should be reviewed, in depth, with counsel knowledgeable with them.

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CMS Corrects Inadvertent Omissions in Recent Stark Law Regulatory Amendments, Clarifies Reach of the Prohibition Related to Indirect Compensation Arrangements

Health Care Law Brief

Earlier this month, the Centers for Medicare and Medicaid Services (CMS) released its final rules for the 2022 Medicare Physician Fee Schedule (PFS Final Rule) and 2022 Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical Center Payment System (OPPS Final Rule). Both rules take effect January 1, 2022. at 1396b(s).