Physician Payment & Practice

PULSE 8/2/2024: NYRx Pharmacy Rejections: Key Updates for Physicians

NYRx Pharmacy Rejections: Key Updates for Physicians Click to Enlarge Attention all healthcare providers: Important changes have been made regarding NYRx pharmacy claim rejections. It's crucial to understand the reasons behind claim denials and how to resolve them effectively. Prior Authorization

PULSE 7/26/2024: Extension Granted for Federal IDR Process Due to CrowdStrike Windows Outage

Extension Granted for Federal IDR Process Due to CrowdStrike Windows Outage Click to Enlarge On 7/19/2024, the Departments announced that they will grant disputing parties impacted by the CrowdStrike Windows outage a one business day extension for any activity in the

PULSE 7/26/2024: Important Update: CMS Policy Change on Cosmetic and Reconstructive Surgery Claims

Important Update: CMS Policy Change on Cosmetic and Reconstructive Surgery Claims Click to Enlarge Attention Surgeons: A recent policy change by CMS in August 2023 now mandates the inclusion of a secondary diagnosis code alongside the primary for cosmetic and reconstructive

PULSE 7/19/2024: 2025 Medicare Physician Fee Schedule Proposed Rule

2025 Medicare Physician Fee Schedule Proposed Rule Click to Enlarge The Centers for Medicare & Medicaid Services (CMS) has released the proposed rule for the Calendar Year 2025 Medicare Physician Fee Schedule. Key highlights include: Payment Adjustments: Proposed changes in payment

PULSE 7/19/2024: AMA Summary of 2025 Medicare Physician Payment Schedule

AMA Summary of 2025 Medicare Physician Payment Schedule Click to Enlarge The American Medical Association (AMA) released its summary of the 2025 Medicare Physician Payment Schedule proposed rule, along with the AMA’s analyses of CMS’ impact assumptions for proposed G-codes, the

PULSE 6/28/2024: NYRx Information for Interns and Residents

NYRx Information for Interns and Residents Click to Enlarge NYRx, the Medicaid Pharmacy Program and the NYRx Education and Outreach team has worked to compile information in the linked document, NYRx, the Medicaid Pharmacy Program Information for Medical Residents, to share with medical

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