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      G2211 delayed until 2024

      The Consolidated Appropriations Act, 2021 has modified the Medicare Physician Fee Schedule (MPFS).  Two major [...]

      07
      Jan
      Radiology Audits: A New Pilot Program from CMS

      This is the all too familiar scenario.  An order for radiology services is received, the [...]

      02
      Nov
      The Audit Gates Have Opened Wider

      The Centers for Medicare & Medicaid Service (CMS) has approved eight new Recovery Audit Contractor [...]

      10
      Sep
      Effective 9/8/20: AMA Issues 2 New COVID CPT® Codes

      The American Medical Association (AMA) issued two new CPT® codes effective September 8, 2020.  The [...]

      09
      Sep
      COVID-19 DRG with Enhanced Payments to be Audited

      As part of the public health emergency CMS added increased weighted reimbursement to COVID-19 DRGs.  [...]

      28
      Aug
      Specialty Care Transports (SCT): CMS Medical Necessity and Documentation Audits

      Centers for Medicare & Medicaid Services (CMS) recently approved Recovery Audit Contractors (RACs) to audit [...]

      18
      Aug
      The 2021 Proposed Physician Fee Schedule: The Major Points

      On August 3 CMS published the proposed policy changes for the Physician Fee Schedule (PFS).  [...]

      11
      Aug
      Home Infusion Billing Changes: What you need to Know

      CMS announced several changes in Transmittal 10269 regarding billing home infusions effective January 1, 2021.  [...]

      07
      Aug
      Inpatient Claim Audits in Center Focus with HHS-OIG

      Inpatient audits once again take center stage with the Centers for Medicare & Medicaid Services [...]

      28
      Jul
      E/M Changes are coming – Are you Ready?

      Historic changes are coming to evaluation and management (E/M) codes effective January 1, 2021. The [...]

      07
      May
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      About

      Rivet Health Law is a boutique firm focusing on legal and compliance issues associated with medical Coding, Billing and Reimbursement.

      Latest Posts
      • 01
        Feb
        What You Need to Know About Good Faith Estimates for Sliding Fee Discounts Comments Off on What You Need to Know About Good Faith Estimates for Sliding Fee Discounts
      • 19
        Nov
        What You Need to Know About the 2023 Medicare Physician Fee Schedule Final Rule Comments Off on What You Need to Know About the 2023 Medicare Physician Fee Schedule Final Rule
      • 07
        Nov
        Facilitating 12,000 false claims costs chiropractor more than $15 million Comments Off on Facilitating 12,000 false claims costs chiropractor more than $15 million
      • 01
        Nov
        The No Surprises Act – Partial Final Rule Effective October 25, 2022 Comments Off on The No Surprises Act – Partial Final Rule Effective October 25, 2022
      • 29
        Sep
        The OIG brings teeth to hospital price transparency Comments Off on The OIG brings teeth to hospital price transparency
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      800 E. Ellis Road Ste# 515 Norton Shores, MI 49441 (231) 799-4870 *By Appointment Only Call us E-mail

      SERVICES

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      • Compliance
      • Regulatory Guidance
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      • Alice MacDermott

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      • Home
      • About
      • Attorneys
        • Joseph Rivet
        • Alice MacDermott
      • Services
        • Reimbursement
        • Coding & Billing
        • Compliance
        • Regulatory Guidance
        • Health Plans & TPAs
        • Payor Audits & Appeals
        • Revenue Cycle
        • Due Diligence
        • Physician & Mid-level Provider Agreements
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