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CMS Eliminates Reporting of Functional Limitation Codes

CMS Eliminates Reporting of Functional Limitation Codes

Nancy J. Beckley, MB, MBA, CHC
By Nancy J. Beckley, MB, MBA, CHC

CMS also has updated its therapy manuals, making elimination of FLR official.

Many therapy providers, at hospital outpatient departments and private-practice clinics alike, were reluctant to stop submitting functional limitation reporting codes and impairment modifiers until they could see the ...

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The Hard Fact About ABNs in the ED

The Hard Fact About ABNs in the ED

Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV
By Juliet B. Ugarte Hopkins, MD, CHCQM-PHYADV

Weighing the difficult decisions being made in the business of healthcare.

Medicine has commonly been considered one of the most altruistic professions.  From long years spent in training to long hours spent caring for others and the perpetual drive to heal those who are hurt and comfort those who ...

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Medicare Advantage Plans Often Decline Authorizations for Long-term Acute Care (LTAC) Transfers

Medicare Advantage Plans Often Decline Authorizations for Lo...

Howard Stein, DO, MHA, CHCQM-PHYSADV
By Howard Stein, DO, MHA, CHCQM-PHYSADV

Patients “managed” out of benefits on Medicare Advantage programs.

Administrative overhead for Medicare fee-for-service operations typically runs at approximately 2-3 percent. Overhead for commercial insurance plans has been reported to be 18-20 percent. So, what services are being denied by ...

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Physicians and the Opioid Crisis

Physicians and the Opioid Crisis

Ronald Hirsch, MD, FACP, CHCQM
By Ronald Hirsch, MD, FACP, CHCQM

MAC to audit physicians who prescribe opioids.

It is well-known to the medical community and to the general public that the opioid epidemic has taken too many lives.

The causes are myriad (I outlined these in a KevinMD.com article in 2016, the second most-read article of the year on that site, ...

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