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CPT chronic care changes align more closely with looming Medicare coverage

With Medicare set to kick off coverage for chronic care management services in 2015, new and revised CPT E/M codes may make it easier for CMS to pay for these services using CPT codes rather than HCPCS codes. Exactly how to bill them won’t be… Read full entry»

Latest News

LCD Updates for October 6th to October 13th

October 26th, 2014 by PitchStone Health Staff

From October 6 to October 13, 49 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | Highmark | NGS | Noridian | Palmetto GBA   CGS L31832: Category III CPT® Codes PitchStone Summary: Revises coverage to make defibrillator… Read full entry»

CMS Updates for the Week Prior to 10/20/2014

October 26th, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the one CMS transmittal out of five released last week that is relevant to physician practices. R243FM: Notice of New Interest Rate for Medicare Overpayments and Underpayments – 1st Qtr Notification for FY 2015 Sets interest rate of 10.75 percent for… Read full entry»

News from around the Web

October 22nd, 2014 by Scott Kraft

In this week's news from around the Web, costs tend to go up when hospitals buy practices and/or competition decreases, and some trends on physician happiness and payer mix. Read full entry»

Telehealth fight attracts heavy hitters on both sides

October 21st, 2014 by Scott Kraft

Large pharmacies and telecom companies join the fight for expansion of telehealth services. Legislation would put telehealth on parity with regular Medicare services. Read full entry»

News from around the Web

October 16th, 2014 by Scott Kraft

In this week's news from around the web, surgeon Atul Gawande talks about end-of-life care, one surgeon gives Obamacare a failing grade and a Chicago practice decides to fight for independence. Read full entry»

Know how your billing compares and what risks you may have

October 16th, 2014 by Scott Kraft

Follow 3 steps to be the best prepared to defend your claims in case of an audit -- and to educate your providers. Read full entry»


Perspectives from around the health care blogosphere

October 15th, 2014 by Scott Kraft

Health bloggers share perspectives on the resilience of the pager, how to prepare for Ebola and the need to require visits for many refills. Read full entry»

Medicare open enrollment set to begin; plan reliability to be learned later

October 14th, 2014 by Scott Kraft

As Medicare kicks off its annual open enrollment from October 15 to December 7, a few trends established in the previous few years are likely to continue. First, patients are likely to continue to migrate from the fee-for-service program to Medicare Advantage plans, including those… Read full entry»


LCD Updates for September 29 to October 6

October 13th, 2014 by PitchStone Health Staff

From September 29 to October 6, 37 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | Highmark | NGS | NHIC | Noridian | Palmetto GBA | WPS     CGS L31836: Chemotherapy and Biologicals PitchStone Summary: Adds… Read full entry»

CMS Updates for the Week Prior to 10/13/2014

October 13th, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the two CMS transmittals out of seven released last week that are relevant to physician practices. R105MSP: Electronic Correspondence Referral System (ECRS) notification regarding Defense of Marriage Act (DOMA) and ICD-10 changes Changes policies for referrals and notifications to allow for… Read full entry»