Category Archives: iMAX Medical Billing Insights

Recovery housing helps recovering addicts fight addiction

COLUMBUS (WCMH) — In Franklin County alone, there have been nearly 1,000 emergency room visits because of suspected overdoses so far in 2018 according to Columbus Public Health. For those who want to help, it can be difficult knowing where to start in the face of such an overwhelming problem. There are places for recovering addicts to live to adjust to life before addiction. “You know it’s just normal life,” Jason Schenck who is a recovering addict. “People are doing their laundry and eating dinner.” He is working to get his life back to normal after years of battling addiction. He’s

Health officials are sounding an alarm on the drug gabapentin. And it’s not even an opioid.

People are using the prescription painkiller gabapentin to boost their highs, doctors say.   It’s fast becoming the go-to drug for addicts in search of a stronger high — and it is not even an opioid. Gabapentin, a purportedly nonaddictive painkiller primarily used to treat shingles and control seizures, has landed on the radar of beleaguered health officials and law enforcement already battling the deadly opioid epidemic that has ripped through the Rust Belt and claimed thousands of lives across the country. Kentucky last year became the first state to classify gabapentin as a controlled substance after the drug showed up in a

State official sees ‘glimmers of hope’ in Ohio opioid crisis

The opioid crisis in Ohio “really has reached epidemic proportions,” yet there are glimmers of hope, Dr. Mark Hurst said Wednesday. Hurst, medical director for Ohio’s Mental Health and Addiction Services Department, spoke to The Courier in a joint interview with Michael Flaherty, a clinical psychologist and an adviser to the Hancock County Board of Alcohol, Drug Addiction and Mental Health Services about its “Recovery Oriented System of Care” initiative. Hurst said in Hancock County, the ADAMHS board, law enforcement, hospital personnel and other agencies are all working together. He said he can’t solve the opioid crisis from his office in Columbus: “It

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).