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ACE Alerts Archive

CMS Covers Acupuncture

In a surprising announcement, CMS made a national decision summary that now allows for coverage for acupuncture as a treatment for chronic low back pain.  But before everyone gets all excited, it is important to read the fine print, as they say.  The question is what qualifies for chronic low back pain and what must

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Planning for 2020

2020 is here and it is time for you to take a few moments and really think about the compliance activities needed for your practice.  There are a couple of recommendations ACE would like to bring to your attention. The 2019 April 1-Sept 30 report was issued in December and you all will not be

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ACE ALERT 10/14/2019

Case Settlement reinforces the importance of medical direction documentation. The US Department of Justice in the Western District of Michigan announced last Thursday that a settlement had been reached regarding claims billed as medically directed anesthesia services that did not meet the regulatory requirements and conditions of payment for billing those services as medically directed. 

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Denial Management Can Be Improved with Correct Coding

Denial Management Can Be Improved With Correct Coding It has been reported by several medical practice management resources that billing denial rates range from five to ten percent with better performers averaging around four percent. All practices would agree that additional effort to resolve claims cost money and it has been estimated that the average

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Global Period Reporting

Remember July 1, 2017 99024 – CMS Requires Reporting Post Op Visits within Global Periods Beginning July 1, 2017 the Centers for Medicare and Medicaid Services (CMS) requires practitioners in the following 9 states to report post-operative visits provided during the global surgical period for specified procedures.  The specific states effected are: Florida Kentucky Louisiana

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UDS Update

Oops they did it again!   ACE has been notified by several clients in different areas of the country that the new lab codes (CPT 80305, 80306 and 80307) are denying.  In reviewing the 2017 Clinical Laboratory Fee Schedule for CMS, the code is listed but it does not appear on the fee schedule with

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