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 [...]
Mar
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 [...]
Feb
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, [...]
Feb
2022 NCCI Updates – Overview of Changes
It is that time of year where updates are abound. The National Correct Coding Initiative [...]
Dec
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 [...]
Dec
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 [...]
Dec
Attorney Joe Rivet Named 2021 Power Lawyers
The Lawyers of Distinction is pleased to announce that Joe Rivet of Norton Shores has [...]
Nov
Can an Insurance Company Downcode Your Claims Automatically?
It is becoming increasingly common that payors downcode certain services provided in emergency departments and [...]
Oct
Ambulance Prior Authorization Dates Finalized
The Centers for Medicare & Medicaid Service (CMS) has announced the implementation dates creating a [...]
Sep
CMS Releases New Fraud & Abuse Online Course
Look closely at your commercial contracts. It is very likely it requires providers and staff [...]
Aug