Tag: schedule
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Effective Nov. 18: Gabapentin Changed to Schedule V
On May 15, 2019, the Alabama State Committee of Public Health voted to change gabapentin to a Scheduled V medication, effective Nov. 18, 2019. The six-month implementation period was provided to allow time to implement the appropriate changes for a legend medication to move to a scheduled medication. These changes may include the following: software…
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E/M Code Changes: A Deeper Dive at What Could be Coming for 2021
This is the second in a series of articles reviewing notable changes in the 2019 Physician Fee Schedule Final Rule and provides a deeper discussion of the potential changes to the E/M Coding regime scheduled to take effect in 2021. For the original article, please see Evaluating and Managing the E/M Codes for 2019 and…
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Evaluating and Managing the E/M Codes for 2019 and Beyond
Editor’s Note: This article is the first in a series of articles about notable changes in the 2019 Physician Fee Schedule Final Rule. In the 2019 Physician Fee Schedule (“PFS”) Proposed Rule, the Centers for Medicare and Medicaid Services (“CMS”) proposed some major changes to the PFS, including changes to the way Evaluation and Management…
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When Is It Wise to Offer Patients a Reduced Fee Schedule?
Some of our practice management roundtable participants are offering certain patients an opportunity to pay fees of less than the standard fee schedule for their care. Below we will discuss how they are reaching that decision and if it could be appropriate for your practice. Some patients have no insurance coverage but want to pay…
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MACRA: Rolled Out and Still Rolling
Most physicians have, by this point, gained some familiarity with the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). The name of this law has appeared frequently in commentary over the past several years, and the changes it imposes are well on their way. However, many of the details concerning MACRA’s implementation—how it affects…
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2017 Chronic Care Management Changes and Outsourcing Chronic Care
Medicare’s shift towards value-based care means the traditional model of health care reimbursement has just had a major shakeup. With value-based care, providers’ payments are now based on the value of care physicians deliver to patients and their health outcomes. Patients with chronic conditions often require greater care outside of the office. Beginning Jan. 1,…