2018 Physician Fee Schedule
The Advocacy Council submitted comments to CMS on Sept. 11, 2017 about issues important to allergists on the proposed 2018 Physician Fee Schedule.
Recovery Audit Contractors (RACS) – What’s new?
In this third and final article in the series, the Advocacy Council addresses the activities of Medicare’s Recovery Audit Contractors (RACs). RACs …
Streamlined audit and fraud program
In this second of our three-part series on the Center for Medicare and Medicaid Services’ (CMS) audit and fraud programs, the Advocacy Council (AC) focus…
Confused by the Medicare audit and fraud programs?
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Change is coming to United Health Care
The Advocacy Council has learned that beginning October 1, 2017, United Health Care (UHC) will stop paying for physician visits billed under certain inpatient …
New modification to the “two midnight” rule
Currently, you cannot admit a Medicare patient to an intensive care unit for desensitization to a chemotherapeutic agent or antibiotic because you need to cert…
Sorting out modifier -59 changes
Modifier -59 is not only the most used modifier, but it’s also one of the most abused. Modifier -59 is used to indicate that a procedure or service was distinc…