iMAXX Medical Billing Solutions Knowledge Hub

iMAX Medical Billing Knowledge Hub

POS 02 Replaces Modifier GT for Telehealth

Effective Jan. 1, 2018, modifier GT Via interactive audio and video telecommunications systems is no longer required on professional claims for telehealth services. Place of Service (POS) code 02 certifies that the telehealth service meets Medicare’s requirements for reimbursement. Get Telehealth Services Paid in 2018 POS code 02, finalized in the 2017 Medicare Physician Fee Schedule (MPFS) final rule, and implemented Jan. 1, 2017, did not immediately take the place of modifier GT. One year later, the Centers for Medicare & Medicaid Services (CMS) agreed that modifier GT was redundant and finalized in the 2018 MPFS final rule that it was no longer

HHS-OIG Cracks Down on Healthcare Fraud in 2017

The Office of Inspector General (OIG) was busy in 2017. In the video, Eye on Oversight – 2017 Year in Review, released Dec. 20, the agency charged with protecting the integrity of U.S. Department of Health and Human Services (HHS) healthcare programs reflects on its accomplishments throughout the year. Summarizing the video, the OIG reports for 2017: 881 criminal actions; 826 civil actions; and More than $4 billion in expected recoveries. In May, electronic health record vendor eClinicalWorks agreed to pay $155 million dollars to settle False Claims Act allegations that it misrepresented capabilities of its software. In July, the OIG took

Opioid epidemic: Lake County’s Quick Response Team helping addicts find treatment

Lake County’s Quick Response Team is still in its infancy, but it’s making progress. That is the observation of Concord Township Fire Chief Matt Sabo about the pilot program between the Lake County Alcohol, Drug Addiction and Mental Health Services Board and the Lake County Sheriff’s Office, Concord Township Fire Department and Perry Village Police Department that was launched in November. The program’s goal is to connect more people who are struggling with addiction disorders with treatment services. According to the ADAMHS Board, the program works like this: When a resident requires medical treatment after a drug overdose, a Quick Response Team

Bill proposed to lift cap on number of patients a physician can treat for opioid addiction

CDC: 30 percent rise in ER visits for opioid overdoses The Centers for Disease Control and Prevention (CDC) reports that emergency department (ED) visits for opioid overdoses rose 70 percent in the Midwest between July 2016 and September 2017. Now, federal legislation designed to increase funding for communities battling the opioid crisis would also lift a capped restriction on the number of patients a physician can treat. The bill, dubbed CARA 2.0, follows the 2016 CARA legislation that was signed into law by President Obama that set forth major funding from the federal government to combat the opioid public health

Emergency Department Data Show Rapid Increases in Opioid Overdoses

Wake-up call to the fast-moving opioid overdose epidemic Data from emergency departments (EDs) show that the U.S. opioid overdose epidemic continues to worsen, according to the latest Vital Signs report by the Centers for Disease Control and Prevention (CDC). The report examines the timeliest data available to CDC on ED visits for opioid overdoses across multiple states. Overall, ED visits (reported by 52 jurisdictions in 45 states) for suspected opioid overdoses increased 30 percent in the U.S., from July 2016 through September 2017. Opioid overdoses increased for men and women, all age groups, and all regions, but varied by state, with rural/urban


3 Ways to Optimize Practice Revenue

Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, stroke, and others) require additional work on the part of the practitioner. Medicare separately pays for non-face-to-face care coordination services furnished to patients who have two or more chronic conditions that are expected to last at least 12 months (or until the death of the patient).

Opioid overdoses soar by 30% in one year

Emergency department visits for opioid overdoses jumped from July 2016 to September 2017 America is struggling to win its battle against drug addiction. Opioid overdoses jumped 30% from July 2016 to September 2017 in 52 areas across 45 states, the Centers for Disease Control and Prevention said Tuesday. Opioid overdoses increased in the Midwestern region by 70% over the same period and spiked 54% in the largest cities in the country. These figures provide an “early warning system” for health departments to coordinate a response, the report said. “This fast-moving epidemic does not stay within state and county lines,” it

See inside the opioid epidemic that’s ravaging America

Photographer James Nachtwey traveled across America to capture the devastating toll of opioid addiction Read the full story

Jump In Overdoses Shows Opioid Epidemic Has Worsened

Opioid overdoses increased 30 percent nationwide between 2016 and 2017, with some places showing even more dramatic spikes, according to the Centers for Disease Control and Prevention. Read the full story   There’s more bad news about the nation’s devastating opioid epidemic. In just one year, overdoses from opioids jumped by about 30 percent, according to a report released Tuesday by the Centers for Disease Control and Prevention. The overall increase in opioid overdoses seen in hospital emergency rooms between the third quarter of 2016 and the third quarter of 2017 occurred across the nation. Some parts of the country experienced far greater increases,