…within the first 7 days of when a person starts to feel ill. The test is also designed to look for antigens, or pieces of coronavirus proteins. Such tests…

…emergency. These codes designate three different time increments of telephone evaluation and management service provided by a physician. You can bill for these physician services separately under Part B…

…party payers to determine payment and coverage policies. MCG guidelines are designed to be considered as evidence based. ISASS sought to provide their coverage analyst with updated information on…

…vote. An amendment offered by Rep. Raul Ruiz, MD (D-CA) and Rep. Larry Bucshon, MD (R-IN) was adopted to add an appeals provision. Appeals would be restricted to complex…

…full summary of the proposed rule and here for a comprehensive comparison of RVUs and reimbursements of spine procedures from the 2017 final rule to the 2018 proposed rule….

On June 18, a key Senate committee held hearings and says it is ready to start marking up a bill next week designed to contain healthcare costs. The wide-ranging…

…reduce load on intervertebral discs, includes straps, closures, may include padding, shoulder straps, pendulous abdomen design, prefabricated, off-the-shelf Note that an item’s inclusion on the Master List does not…

…physicians who self-refer for the performance of certain designated health services. The 2019 bill is similar to previous proposals. If enacted, the bill would strengthen the Stark law by…

…billion over 10 years. The Administration states that these proposals are “designed to improve value-based systems of care, exercise fiscal integrity, promote competition, reduce provider burdens, improve the appeals…

…annual payment reductions for hospitals with too many patients being readmitted. The hospital industry has protested the HAC penalties, saying the program’s design creates an arbitrary cutoff for which…

…are paid under the ASC payment system, both detailed in this rulemaking. The ASC Payment Indicator for 63 CPT codes changed from J8 to G2 from the 2018 proposed…

…Editorial Panel, they go before the Relative Value Update Committee (RUC), also convened by the AMA, to be valued. For more information on the RUC process and how to…