Starting January 1, 2020, providers who order Medicare Part B advanced diagnostic imaging services are required to consult appropriate use criteria through a qualified Clinical Decision Support Mechanism. READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020, including the new anesthesia conversion factor of $22.2016, a slight decrease from 2019, and revisions to several Medicare payment policies. We’ve highlighted a few changes that will be most interesting to anesthesiologists. READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020. We’ve highlighted a few of the biggest changes. READ MORE
CMS recently published the final draft of the Medicare Physician Fee Schedule for 2020. In addition to changing the payment rates for 2020, the Final Rule also mandates changes to several payment policies. We’ve highlighted a few of the biggest changes that would be most interesting to emergency physicians. READ MORE
Indiana has temporarily halted the reporting requirements of its Medicaid work program, known as Gateway to Work, while a lawsuit challenging the program, Rose v. Azar, works its way through federal court. READ MORE
Enrolling providers with Medicare can be a tedious, time-intensive process. However, the process takes even longer if the application is incomplete or contains the wrong information. Here are a few reminders to help make the process go more smoothly. READ MORE
Beginning November 1, 2019, Anthem will reimburse CRNA services submitted with Modifier QZ for their Indiana Medicaid plans at 60 percent of the applicable fee schedule or contracted/negotiated amount. READ MORE
On October 1, some Hoosiers covered by Indiana’s Medicaid expansion program, Healthy Indiana Plan, now have to report 40 hours of work, education, or volunteerism to meet Indiana’s new Gateway to Work requirements. READ MORE
Researchers estimate as many as one in eight ED visits by adults and one in 10 ED visits by pediatric patients are linked to mental illness and substance use disorders in the US. And those numbers are rising, according to a pair of recent studies. But what can be done? READ MORE
Providers billing Anthem Medicaid plans for multiple instances of the same surgical procedure for the same date of service by the same provider will need to make some adjustments to their claims in order to get paid correctly. READ MORE
