Physician Payment & Practice

PULSE 1/10/2025: CPT Codes for Prior Authorization: Reporting Prior Authorization–Related Activities Within E/M Services (99203, 99204, 99205, 99213, 99214, 99215, 99358, 99452, 99080)

CPT Codes for Prior Authorization: Reporting Prior Authorization–Related Activities Within E/M Services (99203, 99204, 99205, 99213, 99214, 99215, 99358, 99452, 99080) Click to Enlarge Prior authorization (PA) is an administrative process that requires physicians or other qualified health care professionals

PULSE 1/3/2025: Get Your 2025 Medicare Fee Schedule Now

Get Your 2025 Medicare Fee Schedule Now Click to Enlarge The January 2025 Medicare Fee Schedule is now available. Stay up to date on essential payment details for your practice. Email Heather Lopez in the Physician Payment and Practice division at [email protected]

PULSE 1/3/2025: NYRx Diabetic Supply Program Update: LifeScan Products to Be Removed in 2025

NYRx Diabetic Supply Program Update: LifeScan Products to Be Removed in 2025 Click to Enlarge Starting January 1, 2025, LifeScan diabetic supplies, including OneTouch meters, test strips, and lancets, are no longer to be included on the NYRx Preferred Diabetic Supply

PULSE 12/20/2024: Get Your 2025 Medicare Fee Schedule Now

Get Your 2025 Medicare Fee Schedule Now Click to Enlarge The January 2025 Medicare Fee Schedule is now available. Stay up to date on essential payment details for your practice. Email Heather Lopez in the Physician Payment and Practice division at

PULSE 12/20/2024: NYRx Updates: Important Resources and Support for Physicians

NYRx Updates: Important Resources and Support for Physicians Click to Enlarge The NYRx Education & Outreach (E&O) team has shared key updates for providers and prescribers across New York State. Highlights include enhancements to the Preferred Drug List (PDL), expanded 90-day

PULSE 12/20/2024: NYRx Diabetic Supply Program Update: LifeScan Products to Be Removed in 2025

NYRx Diabetic Supply Program Update: LifeScan Products to Be Removed in 2025 Click to Enlarge Starting January 1, 2025, LifeScan diabetic supplies, including OneTouch meters, test strips, and lancets, will no longer be included on the NYRx Preferred Diabetic Supply List.

PULSE 12/13/2024: Anthem Notification of Authorization Fax Number Changes

Anthem Notification of Authorization Fax Number Changes Click to Enlarge Anthem is in the process of shutting down specific authorization fax channels. This article notifies you that the fax numbers below will be decommissioned December 15, 2024. Look for future

PULSE 12/6/2024: NYS DOH Webinar: Exploring the New Social Care Network Program

NYS DOH Webinar: Exploring the New Social Care Network Program Click to Enlarge The New York State Department of Health (NYS DOH) invites healthcare providers to a webinar on December 12, 2024, from 2:00-3:00 pm ET, to learn about the State’s new

PULSE 12/6/2024: New Incentives for NYS Patient-Centered Medical Home Providers: Enhance Patient Care and Earn Additional Payments

New Incentives for NYS Patient-Centered Medical Home Providers: Enhance Patient Care and Earn Additional Payments Click to Enlarge Retroactive to April 1, 2024, primary care providers recognized under the NYS PCMH program are entitled to an incentive enhancement of $4.00/PMPM for MMC

PULSE 11/22/2024: National Rural Health Day: Critical Updates & Opportunities to Get Involved

National Rural Health Day: Critical Updates & Opportunities to Get Involved Click to Enlarge In celebration of National Rural Health Day on November 21, several essential updates and opportunities are being shared to spotlight advancements and ongoing rural healthcare initiatives. Key

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