Physician Payment & Practice

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

PULSE 11/22/2024: Key Updates for Medicare Providers from National Government Services

Key Updates for Medicare Providers from National Government Services Click to Enlarge National Government Services (NGS) has released important updates for Medicare providers, including crucial changes and training opportunities. Starting November 18, 2024, beneficiary eligibility information will no longer be

PULSE 11/01/2024: Help Shape Medicare Coverage: Join the NGS Contractor Advisory Committee Today!

Help Shape Medicare Coverage: Join the NGS Contractor Advisory Committee Today! Click to Enlarge National Government Services (NGS) seeks Physicians to volunteer as Medicare Contractor Advisory Committee (CAC) members. CAC members provide insights to help develop Local Coverage Determinations (LCDs)

PULSE 10/18/2024: Enhance Your Financial Literacy: NYSSA Webinar on Physician Payment & Practice

Enhance Your Financial Literacy: NYSSA Webinar on Physician Payment & Practice Click to Enlarge The New York State Society of Anesthesiologists (NYSSA) is hosting a Financial Literacy Series in collaboration with MLMIC Insurance Company and Global Physicians Network Foundation (GPNF). The

PULSE 9/20/2024: HCPCS Code G2211: New Guidance for 2024

HCPCS Code G2211: New Guidance for 2024 Click to Enlarge As of January 1, 2024, the Office and Outpatient Evaluation and Management (E/M) visit complexity add-on code G2211 became active and is now separately payable under the Medicare Physician Fee

PULSE 9/20/2024: Documentation Responsibilities for Diagnostic and Laboratory Services

Documentation Responsibilities for Diagnostic and Laboratory Services Click to Enlarge When billing for laboratory or diagnostic tests, ensuring proper documentation is crucial to avoid claim denials during Medicare reviews. Here’s a quick overview: Physician’s Role: When ordering tests, physicians must provide clear documentation

PULSE 9/13/2024: Register Now for the 2024 NYS Workers’ Compensation Conference!

Register Now for the 2024 NYS Workers' Compensation Conference! Click to Enlarge Don't miss the opportunity to attend the New York State Workers’ Compensation Conference on October 18, 2024, at the Empire State Plaza Convention Center in Albany. This full-day event

PULSE 8/23/2024: Changes to NYRx Drug Formulary Effective August 1, 2024

Changes to NYRx Drug Formulary Effective August 1, 2024 Click to Enlarge The New York State Medicaid Program has implemented significant updates to the NYRx Preferred Drug List (PDL) effective August 1, 2024, following the May 16, 2024, DUR Board meeting. These

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