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Medicare & Medicaid

  • ACEP Sues Federal Government Over Health Insurer Billing Practices

    In a bold, unprecedented move, ACEP sued the federal government to contest a regulation that impedes emergency...
  • ACEP, EDMPA Address Out-of-Network and Balance Billing Issues

    “A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.” —Sir...
  • Anthem Blue Cross Starts Prepayment Review on Level 5 Emergency Department E/M Medicare Claims

    Anthem Blue Cross has announced that beginning January 2016, the plan will begin a prepayment review of...

ACEP Sues Federal Government Over Health Insurer Billing Practices

May 18, 2016 - ACEP Now - 2 Comments

In a bold, unprecedented move, ACEP sued the federal government to contest a regulation that impedes emergency…

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ACEP, EDMPA Address Out-of-Network and Balance Billing Issues

May 16, 2016 - William Jaquis, MD, FACEP, and Ed Gaines, JD, CCP - 2 Comments

“A pessimist sees the difficulty in every opportunity; an optimist sees the opportunity in every difficulty.” —Sir…

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Anthem Blue Cross Starts Prepayment Review on Level 5 Emergency Department E/M Medicare Claims

April 13, 2016 - David McKenzie, CAE - 0 Comment

Anthem Blue Cross has announced that beginning January 2016, the plan will begin a prepayment review of…

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Opinion: Emergency Medicine Community Reacts to IOM Report on Improving Diagnosis in Health Care

April 12, 2016 - ACEP Now - 0 Comment

Editor’s Note: We received many responses to January’s A New Spin article, “What’s on My Mind: Should…

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ACEP President Dr. Jay Kaplan Discusses Challenges Facing Emergency Medicine

March 16, 2016 - ACEP Now - 0 Comment

Each year brings new challenges for our specialty to face and a new President to lead the…

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New CMS Rules Introduce Bundled Payments for Observation Care

March 16, 2016 - Christopher Baugh, MD, MBA, FACEP, and Michael Granovsky, MD, FACEP - 0 Comment

Last November, the Centers for Medicare & Medicaid Services (CMS) published its 2016 final rule for the…

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How the 2016 CMS Coding Changes Will Affect Emergency Physicians

February 12, 2016 - Michael A. Granovsky, MD, FACEP, and David McKenzie, CAE - 0 Comment

The Centers for Medicare & Medicaid Services (CMS) released the Medicare Physician Fee Schedule (PFS) Final Rule…

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Avoid Patient History Documentation Errors in Medical Coding

February 12, 2016 - Caral Edelberg, CPC, CPMA, CAC, CCS-P, CHC, and Hamilton Lempert, MD, FACEP, CEDC - 0 Comment

Particularly in our current climate of health care reform and ICD-10 transition, cutting through the red tape…

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