Medicaid

October 28th 2021

Code accurately with the appropriate documentation to substantiate medical necessity.

August 26th 2021

Only a quarter of Medicare and Medicare Advantage recipients receive an annual wellness visit.

July 13th 2021

If providers fail to follow these new rules, claims will be denied, and eventually, those who are outliers on adherence to appropriate use criteria will be subject to prior authorization.

September 6th 2019

Most physician compensation structures must comply with Stark laws. The danger is that practices may be in violation without realizing it, putting themselves at risk of fines and exclusion from Medicare and Medicaid.