March 10, 2023 | By Bryan Meek, Esq., Brennan, Manna, and Diamond OVERVIEW: The Eliminating Kickbacks in Recovery Act (“EKRA”), part of the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment (“SUPPORT”) for Patients and Communities Act, was passed in 2018. Since its passing, there has been very limited guidance as to how…
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May 3, 2022 | By Michele Strickland, CPC, CEMA Research has been on my mind a lot lately. As auditors it is very important that we continually “exercise” our research muscle to make sure we are looking at our auditing from all angles. Rarely is our world black and white, so it is very…
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We often spend a lot of time talking about prescription drug management. Today in our “Take” we will spend time addressing over-the-counter medication. This question was submitted to me by Kelly, who works in a dermatology practice, but her question is relevant no matter your specialty. Kelly’s question is about a physician who is using…
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February 24, 2023 | By Sonal Patel, CPMA, CPC, CMC, ICDCM Well, the time is finally here! 2023 has ushered in a new standard for how we look at evaluation and management (“E/M”) services. Physicians, providers, coders, auditors, educators, and compliance professionals alike are finally able to utilize much more than the “bean-counting” methods…
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In the expansion category of the 2021 documentation guidelines, there’s some information that may be a little confusing that would like to review with you in Today’s Take. On page 23, under Initial Hospital Inpatient or Observation Care, under the New and Established Patient, there’s a paragraph that reads a little confusing: “If a consultation…
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