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From an email today: Reminder that Anthem Blue Cross and Blue Shield (Anthem) will review ER Level 5 professional claims
N.H. committee votes to increase Medicaid copays
By Kathleen Ronayne
CONCORD, N.H. (AP) — Medical copayments will increase on Jan. 1 for people on the state's Medicaid expansion plan with incomes higher than twice the federal poverty line, which is roughly $12,000 for an individual.
Concurrent surgeries come under new scrutiny
In Minnesota, heart surgeons occasionally performed overlapping operations at hospitals roughly eight miles apart, leaving the second patient waiting under anesthesia for the doctor to arrive.
In Wisconsin, a medical school paid $840,000 this year to settle a lawsuit alleging that neurosurgeons illegally billed Medicare for simultaneous spine surgeries that were largely done by unsupervised medical residents.
Norwalk Hospital settles Medicare fraud claims
Norwalk Hospital is among 32 hospitals in 15 states that have agreed to pay the United States a total of more than $28 million to settle allegations that they submitted false Medicare claims for minimally-invasive procedures to treat spinal fractures that often are due to osteoporosis.
Medical Coding News
- MIPS Reporting: MACRA Final Rule Lists Available Quality Measures for MIPS reporting
- Reimbursement, Billing in Radiology: Updates and Issues
- The Evolution of the International Classification of Disease
- Coding for Clarity: Echocardiography Gains Two New CPT Add-On Codes
- Healthcare Reform Can Create Confusion Over Compliance for Providers