RevDive

The public health emergency has created new opportunities to buy and sell medical practices. Today we’ll discuss factors to consider on both sides of this type of transaction. Today's guest, Stephen Kaufman, Esq., Partner at Wright, Constable & Skeen, LLP has seen it all and shares some best practices for buying and selling medical practices in this episode of the podcast. 

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Join us today as we take a look at the interim surprise billing rule issued July 2, 2021 and OSHA’s Emergency Temporary Standard on COVID-19. Both would be mandatory once finalized and both require significant changes to practice workflows. 

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Join us as we chat with Lucien Roberts and gain valuable insights on the challenges facing practices seeking prior authorization and gold-card status. Lucien is the lively practice administrator at Gastrointestinal Specialists in Virginia, former president of the Virginia MGMA chapter, Legislative Advocate Award winner, writer and speaker for Physicians Practice and the AMA. 

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Join us as legislative and regulatory expert Claire Ernst provides the current Spill from the Hill discussing hot topics in congress including:

• Potential Prior Authorization changes
• Telehealth restrictions
• Sequestration
• Comprehensive Debt Collection
• ...and more!

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This episode is a continuation of episode #2, part 1, that focused on activities that may be included in time-based scoring of evaluation and management codes (E & M). We discuss the recent E & M clarifications published by the American Medical Association (AMA) that provide further guidance on the use of Medical Decision Making as a factor for leveling E & M services.

• These clarifications were published on March 9th, 2021 and effective on January 1, 2021
• We will review several key Medical Decision Making (MDM) factors that providers will need to understand for scoring Evaluation & Management Services
• The key clarifications that will be discussed include:
  • Presenting Problems & Risk
  • The term, “Analyzed” for reporting a test in the data column
  • The term, “Unique” Test when factoring the number of tests ordered and or reviewed
  • The term, “Discussion” between providers, how it can be counted towards MDM and the criteria necessary to factor discussions into MDM
  • Factoring in Social Determinants of Health into the table of risk of complications
  • Factoring in tests considered but not ordered into the test results category for MDM

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In this part 1 episode, Taya Moheiser and Kem Tolliver dive into the changes related to time-based coding of evaluation and management codes. 

• What time counts?
• What time doesn't count? 
• When did this change become effective? 

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In this episode, Taya Moheiser and Kem Tolliver discuss the recent vote by Congress to extend the moratorium on the two percent sequestration cuts to Medicare programs. CMS put a hold on payments in anticipation of the delay and it was approved. 

• So what does this mean long term? 
• How long is the extension? 
• What happens after it expires? 

Find out in this timely episode and subscribe for future #RevCycle updates with RevDive.

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