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Profit sharing, productivity bonuses for physicians: 5 Stark Law updates

Posted Jun 18, 2021

Stark Regulatory Changes Effective January 1, 2022

The Centers for Medicare and Medicaid Services (CMS) recently implemented major changes to the Stark Law regulations, most of which are already in place. However, some health care providers may be less aware of the changes to the “special rule for productivity bonuses and profit sharing” within Stark’s group practice definition. 

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Radiology Orthopedics Healthcare News

UnitedHealthcare Reimbursement Policy Update

Posted Mar 26, 2021

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As of March 1st, 2021, UnitedHealthcare has made several updates to their reimbursement policy for Advanced Practice Health Care Providers. The previous policy change was made on April 13th, 2020 when the word “Commercial” was added to the policy header. 

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Medical Coding Healthcare News Billing & Reimbursement

CMS Finalizes Major Cut in Radiology Reimbursement

Posted Feb 19, 2021

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After some delay due to the COVID-19 pandemic, the Centers for Medicare and Medicaid Services (CMS) has released the final set of guidelines that will govern the Medicare payment system for 2021. The rule for the Medicare Physician Fee Schedule (MPFS) was proposed earlier last year, and since then, slight revisions have been made including an improvement in the conversion factor and a change to the Quality Payment Program (QPP) performance threshold. 

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Radiology Medical Coding Healthcare News Billing & Reimbursement

Vaping-Related Illness and Injury: What Radiologists Should Know

Posted Nov 5, 2020

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Radiologists and healthcare providers of all kinds should always prioritize their awareness of illnesses or injuries that have begun to occur more frequently, whether the instances are being described as an “outbreak” or just as a trend that is increasing over time. One such example is the recent occurrences of cases of e-cigarette or vaping product use-associated lung injury, also known as EVALI. The Centers for Disease Control and Prevention (CDC) recently released an in-depth report focused on this outbreak, its evolution, and its potential causes, which can guide radiologists moving forward as they may be faced with cases of EVALI in their own practices. Keep reading to learn more about this illness and how radiologists can best serve patients with EVALI in 2020.

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HIS Coding Update

Posted Sep 9, 2020

E/M Documentation Changes 2021

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