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) by advising Medicare Administrative Contractors
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 next session, titled "Physician Payment
Important Update: NYRx Coverage Click to Enlarge Effective October 1, 2024, NYRx coverage of preferred blood glucose test strips and lancets for members with diabetes aligns with Medicare. Please click here to stay informed about the latest updates.
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 Schedule. This code recognizes the
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 to justify the medical necessity
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 will offer CME credits and
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 changes include new additions and
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 Requirement: Only one type of
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 federal Independent Dispute Resolution (IDR)
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 surgery claims. Without this secondary
