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Medicare 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.
DetailsColorado Medicaid is changing its name to Health First Colorado (Colorado’s Medicaid Program) this summer. Join the Colorado Department of Health Care Policy & Financing for a webinar exclusively for health care providers to learn about this exciting change!
DetailsF10.982 — Alcohol use with other alcohol-induced disorder.
T75.3XXA — Motion sickness, initial encounter.
Y93.18 — Activity, water skiing and wake boarding.
S93.411A — Sprain of calcaneofibular ligament of right ankle, initial encounter.
Y93.E5 — Activity, floor mopping and cleaning.
Y92.010 — Kitchen of single-family (private) house as the place of occurrence of the external cause.
