Physician Payment & Practice

NYRx Updates Diabetic Testing Supply Guidelines: What Physicians Need to Know Click to Enlarge New updates from NYRx outline specific parameters for pharmacies and prescribers managing diabetic testing supplies for Medicaid patients. Physicians must follow new quantity and day supply limits for diabetic test strips and

CMS Alert Highlights Medicare Fraud Scheme Involving Phishing Fax Requests Click to Enlarge The Centers for Medicare & Medicaid Services (CMS) published an alert on fraud schemes that are increasingly targeting Medicare providers that involve bad actors impersonating CMS and sending phishing fax requests for medical records

Certification of Additional Federal Independent Dispute Resolution (IDR) Entities Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury (the Departments) are announcing the certification of two additional independent dispute resolution (IDR) entities, Capitol Bridge, LLC and Livanta LLC (DBA: Commence). Expanding the number

Dispute Closure Error Technical Assistance Click to Enlarge The Departments of Health and Human Services, Labor, and the Treasury published the Dispute Closure Error Technical Assistance (TA) to the Overview of Rules & Fact sheets page under the Guidance & Technical Resources section of the No

Nomination Period Open for PCMP Breast Cancer Screening Clinician Expert Workgroup Click to Enlarge The Centers for Medicare & Medicaid Services (CMS) and its measure developer are seeking nominations for the Clinician Expert Workgroup that will provide input on the development of the Breast Cancer Screening

Action Required: NYS Mandates Electronic CMS-1500 Billing by August 1 Click to Enlarge Effective August 1, 2025, the NYS Workers’ Compensation Board (Board) will require health care providers to submit the CMS-1500 universal billing form electronically, through a Board-approved electronic submission partner. But don’t wait!