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Medicare Open Enrollment: What’s New for 2018?

14. November 2017

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It’s that time of year again — time for your patients to start thinking about their healthcare needs and what they’re looking for in their Medicare health and drug plans. Medicare Open Enrollment began on Oct. 15 and will remain open until Dec. 7. And there’s good news. CMS reports more options and lower premiums […]

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Straight From the Source: Use Modifier 25 the Right Way With CCI Manual Tips

22. September 2017

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It can be tricky knowing when to append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service). More specifically it can be tough to determine whether work performed by a provider amounts to a separate […]

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Why HHS Says It’s Focusing on Disenrollment Data in MA Plan Oversight

18. September 2017

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Sicker patients seem to be dropping out of some Medicare Advantage (MA) plans, according to a Government Accountability Office (GAO) report from April 2017. Here’s a closer look at the report and the entities involved. A Brief Look at MAs and Their 17.6 Million Beneficiaries CMS contracts with private entities to cover Medicare beneficiaries under […]

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