03/17/20 | Telehealth regulations loosened
 

With the Coronavirus issues CMS has loosened the regulations and HIPAA issues that have caused concerns about when telehealth can be used. Check out the new release

Telehealth regulations loosened
 
01/29/20 | New Drug Delivery Codes 20700-20705
 

Stop using 11981-11983 as of Jan 1st 2020- Use the new drug delivery codes 20700-20705 --

New Drug Delivery Codes 20700-20705
 
04/04/19 | Watch your "stem cell" wording - On going FBI investigations
 

For those offices that are using the wording 'stem cells' or charging patients for these services you need to be aware of the FBI ongoing investigations.

Watch your
 
02/28/19 | Great article on the issues with 63047 and 22633 and 22630
 

Find out about the issues between 22633/22630 and 63047 and get the history of these codes.  Great information you can use for your private payer appeals.

Great article on the issues with 63047 and 22633 and 22630
 
01/02/19 | Accessing Newsletters
 

How to get newsletters

Accessing Newsletters
 
01/02/19 | Calendar events
 

Calendar events

Calendar events
 
09/26/18 | Scam audio flyer Fionexia - please don't sign up
 

It has come to my attention that there is a flyer (from Fionexia) that is going out from a company that is fraudualent and stating I am doing an audio for them.  Please do not sign up it is a scam.  The audio they are advertising was done for AudioEducator.com. It appears if you pay for it you may not get anything for your pay!!!

Scam audio flyer Fionexia - please don't sign up
 
08/11/18 | Margie Vaught Newsletters
 

Now you can access and download the newsletters directly from this site. 

Margie Vaught Newsletters
 
Archive - See All Entries

Musculoskeletal Global Surgery Fees Often Did Not Reflect the Number of Evaluation and Management Services Provided (A-05-09-00053) http://go.usa.gov/Vyz

Musculoskeletal global surgery fees often did not reflect the actual number of evaluation and management (E&M) services that physicians provided to beneficiaries during the global surgery periods. Using our sample results, we estimated that Medicare paid a net $49 million for E&M services that were included in musculoskeletal global surgery fees but not provided during the global surgery periods in 2007. Global surgery fees include payment for a surgical service and the related preoperative and postoperative E&M services provided during the global surgery period. The global period for major surgeries includes the day before the surgery, the day of the surgery, and the 90 days after the day of the surgery.

For 211 of the 300 sampled global surgeries, the fees did not reflect the actual number of E&M services provided. Specifically, physicians provided fewer E&M services than were included in 165 global surgery fees and provided more E&M services than were included in 46 global surgery fees. For the remaining 89 global surgeries that we sampled, either the fees reflected the actual number of E&M services provided during the global surgery periods (24 surgeries) or the surgery was 1 of multiple surgeries (65 surgeries). (For the 65 sampled surgeries that were performed as 1 of multiple surgeries, we were unable to determine whether the E&M services that physicians provided were related to the sampled surgeries or to 1 of the other surgeries performed on the same date of service. Therefore, we did not categorize these 65 sampled surgeries as errors.)

We recommended that CMS adjust the estimated number of E&M services within musculoskeletal global surgery fees to reflect the actual number of E&M services being provided to beneficiaries, which would have reduced payments in 2007 alone by an estimated $49 million, or use the results of this audit during the annual update of the physician fee schedule. CMS concurred, in part, with the recommendations but planned to conduct further analysis before proposing any changes in the number of E&M services assigned to musculoskeletal surgeries."