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RT Welter would like to wish everyone a Happy 4th of July! With lighter restrictions this year, we hope you are once again able to spend time with your families and friends! Please remember to have a safe but also fun and relaxing holiday. To follow medical precautions, don’t forget to wear sunscreen, stay hydrated…
DetailsOptimists often have many benefits such as being high achievers and generally, tend to be healthier. Embracing optimism can be challenging but with a few mental shifts, anyone can lead a more optimistic life. Continue reading below for some tips on embracing optimism. Now, more than ever, seems both a challenging and imperative time to…
DetailsModifier 25 is a 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. Here is RT Welter’s guide to making sense of when and how to use it. Continue reading below to learn more! The HHS Office…
DetailsThe Supreme Court of the United States is upholding the Affordable Care Act (ACA) in its ruling for the California V. Texas Case. This case has been ongoing since December 2018 and is the 3rd major court case faced by the ACA. Continue reading below to learn more about the ruling and the case. The…
DetailsThe HHS Office of Inspector General (OIG) made a recent addition to their Work Plan which specifically cites dermatology as their primary area of focus in regard to use of modifier 25. The updated Work Plan indicates that on average, 60% of dermatologists submit claims for E/M services also include minor surgical procedures, a much…
DetailsUnited Healthcare has introduced a new policy that will assess ED facility commercial claims. United Healthcare will be evaluating assessments based on several factors involving the patient’s problem, the intensity of the service, and the patient complicating factors and external causes. Read more about it below: The new policy will apply to “commercial fully insured…
DetailsThis month’s operation report features open reduction subchondroplasty. The practice of the procedures in this report is nothing new and this is considered a standard that is essential for good patient recovery. When performing these operations, there are additional questions to be asked about the coding and billing involved. Continue reading below to learn more!…
DetailsPost-payment reviews have returned. Nationally, Medicare Administrative Contractors (MACs) have restarted post-payment reviews following their suspension due to COVID-19. In their weekly MLN Connects newsletter dated August 6, 2020, the Centers for Medicare and Medicaid Services (CMS) wrote, “Beginning August 17, the MACs are resuming with post-payment reviews of items/services provided before March 1, 2020.…
DetailsPrescription drug costs over the years have skyrocketed and will only continue to rise if something is done to control them. Colorado lawmakers have taken matters into their own hands. Continue reading below to learn more. DENVER — Tired of waiting for federal action to reduce prescription drug costs, Colorado is acting on its own…
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