Heed Caution: Takeaways From the OIG's Advance Care Planning Report
Surprise! What Hospices Need to Know About the No Surprises Act
The American Medical Association’s (AMA) Current Procedural Terminology (CPT) Editorial Panel—which establishes standards for medical coding—published a Summary of Panel Actions from its September 2024 meeting, which includes...more
Executive summary - The shift towards value-based care (VBC) has led to a reimagining of the traditional definition of health care delivery—including what types of services are delivered, how those services are delivered,...more
CPT code 97039 has been in a state of constant flux in Florida and recent rulings have created greater change. First, one must understand what 97039 is and its history. According to the American Medical Association (AMA), CPT...more
CT magazine (August 2022) - Medical school curriculum is heavy in anatomy, physiology, biochemistry, pathology, and clinical rotations or clerkships. There is very little, if any, instruction on proper coding and billing...more
Health plans are using both new and old methods to deny healthcare providers’ claims, all of which are legally and factually unsupportable. These tactics have repeatedly been rejected by arbitrators in scores of arbitrations,...more
On March 27, 2020, the Texas Supreme Court, in Farmers Texas County Mutual Insurance Company v. Beasley, No. 18-0469, decided whether “an injured plaintiff had standing to bring suit against his personal injury protection...more