Author Archives: Joseph Rivet

Medical Biller Convicted

Kelly Addam Gersting was a biller for Rehabilitative Mental Health.  He was billing for services [...]

Sorting out the confusion: When the No Surprises Act does—and doesn’t—apply

The No Surprises Act (NSA) took effect January 1, 2022, yet there’s still a lot [...]

File this under “the high price of surgical multi-tasking”

Oops! They did it again. Massachusetts General Hospital has paid a staggering $32.7 million since [...]

No Surprises Act: Six FAQs about the qualifying payment amount (QPA)

Now that the No Surprises Act (NSA) is in full swing as of January 1, [...]

2022 NCCI Updates – Overview of Changes

It is that time of year where updates are abound.  The National Correct Coding Initiative [...]

Should we call it the September Rule or the October Surprise?

While you were celebrating the No Surprises Act designed to protect patients from surprise medical [...]

Three important takeaways from the 2022 Medicare Physician Fee Schedule Final Rule

2,414. That’s the impressive number of pages in the 2022 Medicare Physician Fee Schedule Final [...]

Attorney Joe Rivet Named 2021 Power Lawyers

The Lawyers of Distinction is pleased to announce that Joe Rivet of Norton Shores has [...]

Can an Insurance Company Downcode Your Claims Automatically?

It is becoming increasingly common that payors downcode certain services provided in emergency departments and [...]

Ambulance Prior Authorization Dates Finalized

The Centers for Medicare & Medicaid Service (CMS) has announced the implementation dates creating a [...]