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EHR Penalty Exemption: Hope for Solo Pracitioners and Older Physicians?

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In 2009, the Medicare and Medicaid EHR (electronic health record) incentive program created an incentive structure that would reward physicians who adopted an EHR system, and penalize those who did not. Under this current program, physicians must meet “meaningful use requirements” and adopt an EHR system by July 2014 in order to avoid penalties in 2015. […]

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June is Men’s Health Month: Billing Preventive Services in the PCP Setting

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CMS recently published an article on raising awareness of men’s health issues and preventive services – in light of June being Men’s Health Month. With the revamped Medicare policy on preventive services – for which the Affordable Care Act contains provisions that have allowed Medicare to cover many new preventive services at no charge to

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Starting out in Medical Practice: Billing & Practice Management Options

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So – here you are, recently graduated from Medical School, or considering a venture into private practice, or a transition from your current practice into a new environment. As exciting as this time is, you may also feel as though you are wandering through a maze of questions and murky decisions. Is private practice best,

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Cardiology Billing Update: Novitas Clarifies Regulations on IDE, HUD, CAS Clinical Trial Requests

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Novitas (Medicare Administrative Contractor) has sought to provide additional clarification for those providers seeking participation in clinical trials and applications for Investigational Device Exemption (IDE), Humanitarian Use Device (HUD) and/or Post-Approval and 510K Extension Studies for Carotid Artery Stenting (CAS). The Medicare A/B Reference Manual, Chapter 7 (available here: https://www.novitas-solutions.com/refman/chapter-7.html) has been revised. While there are

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Still not e-prescribing? June 30 Deadline Approaching!

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Medical providers are currently being bombarded with various incentive and penalty programs… from PQRS, to EMR incentives, the sequestration cuts, and e-Rx. Of all of these programs, e-prescribing is on the easier end for provider participation. If your practice is not currently e-prescribing, what are you waiting for? With the correct software (often free, or

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Navigating the New Health Insurance Marketplace – Preparing for Oct 1, 2013

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We are less than six months away from a major shift in the way consumers and small-business owners shop for healthcare insurance. On October 1, 2013, enrollment begins for the state insurance exchanges, as prescribed in the Patient Protection and Affordable Care Act. While the goal of the exchanges is to allow the currently insured

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Billing Vaccinations: New, Revised & Deleted CPT Codes for 2013

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Vaccination Changes – Effective January 1, 2013 Influenza New Codes: · 90653-Influenza virus vaccine, inactivated, subunit, adjuvanted, for intramuscular use · 90672-Influenza virus vaccine, quadrivalent, live, for intranasal use · 90685-Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use · 90686-Influenza virus vaccine, quadrivalent, split virus,

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