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R.T. Welter & Associates strongly believes that transparent competition among payers and providers regarding value and cost is the only way to make the delivery of health care more effective and efficient. Colorado’s Amendment 69 does nothing to address either issue. Amendment 69 is an incredibly expensive attempt to fix what is not working, but…
DetailsProblems…everyone has them. Every practice has them. A good manager knows problems and setbacks are out there and does h/her best to get in front of issues before they become major and even worse, destructive. It starts with honest assessments. An honest look at ones own shortcomings first and then the issues which do or could affect the practice and those…
DetailsW16.111A – Fall into natural body of water striking water surface causing drowning and submersion, initial encounter
V92.06XA – Drowning and submersion due to fall off (nonpowered) inflatable craft, initial encounter
Y93.16 – Activity, rowing, canoeing, kayaking, rafting and tubing
DetailsMedicare pays for clinical diagnostic laboratory tests (CDLTs) under the CLFS. The CLFS provides payment for approximately 1,300 CDLTs, and Medicare pays approximately $7 billion per year for these tests.
DetailsThe Justice Department is suing to block two proposed mergers between major health insurance companies, saying the deals violate antitrust laws and would lead to higher health care costs for Americans. U.S. Attorney General Loretta Lynch explained the decision at a press conference: “If allowed to proceed, these mergers would fundamentally reshape the health insurance…
DetailsT67.0XXD — Heatstroke and sunstroke, subsequent encounter.
Y93.02 — Activity, running.
Y92.414 — local residential or Business Street as the place of occurrence of the external cause.
On July 7, 2016, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that updates payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS) on or after January 1, 2017.
DetailsS62.035A — Non–displaced fracture of proximal third of navicular [scaphoid] bone of left wrist, initial encounter for closed fracture.
Y93.18 — Activity, surfing, windsurfing and boogie boarding.
Y92.832 — Beach as the place of occurrence of the external cause.
Automated Claim Correction via the Interactive Voice Recognition (IVR) unit is coming soon, which will allow you to conduct an unlimited number of telephone claim corrections for select Medicare Part B claims via the IVR.
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