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 [...]

CMS Releases New Fraud & Abuse Online Course

Look closely at your commercial contracts.  It is very likely it requires providers and staff [...]

Transvenous (Catheter) Pulmonary Embolectomy – Possible Removal of the NCD

Currently, Transvenous (Catheter) Pulmonary Embolectomy is not covered by Medicare as it is still considered [...]

Illinois makes Telehealth Law

Illinois Governor Pritzker signed legislation expanding telehealth access. The law was signed and became effective [...]

The No Surprises Act – CMS Notice and Consent Forms

Recently the Departments of Health and Human Services (HHS), Labor, and Treasury issued Part I [...]

Medical attorney says more people receiving Covid vaccine bills is a disturbing trend

FOX 2 – If you got your Covid vaccine – did you get a bill [...]

Joe Rivet Appointed to ABA Leadership Position

Joe Rivet has been appointed to the ABA Solo, Small Firm and General Practice Division [...]

Inside Track: Attorney turns medical problem into career

Joe Rivet inadvertently catapulted himself into the health care industry as a teenager and has [...]

CMS Expands OPD Prior Authorization Requirements

As announced in the OPPS Final Rule, effective with July 1, 2021 dates of service, [...]