medicare

FYI, limitations are being proposed for Epidural Injection as treatment option for chronic pain This proposed LCD on Epidural Procedures for Pain Management services was announced on June 10, 2021. This nationwide policy contains many onerous changes that will detrimentally affect patient...

I've been highly contemplating a career switch into medicine, but there seems to be so much doom and gloom around here. I just separated from the military and am currently deciding between medicine, public service (LEO, FF, federal law enforcement), and finance. To be honest, I'm leaning more...

Hi, I'm an overseas trained specialist, holding a limited registration for postgraduate or supervised training (specialist recognition) from the AHPRA. They have limited my areas of work as per my contract and my employer is in private sector. After relocating to Australia with my family, my...

Thoughts on these predictions? The winners and losers under Trump's plan to combat high drug prices

For those in Southern California: I'm organizing an event with the San Diego Organization of Healthcare Leaders (SOHL) next Thursday 4/19. We are bringing in Dr. Ashby Wolfe, Chief Medical Officer of our region of CMS to discuss new payment policy changes. (For those who are unfamiliar, CMS...

For those in Southern California: I'm organizing an event with the San Diego Organization of Healthcare Leaders (SOHL) next Thursday 4/19. We are bringing in Dr. Ashby Wolfe, Chief Medical Officer of our region of CMS to discuss new payment policy changes. (For those who are unfamiliar, CMS is...

I had recently been accepted to Scholl College of Podiatric Medicine. Prior to applying to podiatry school I had applied to DO schools, but did not quite cut it. That being said, I did not want to take a year off due to family pressure and decided to jump into podiatry school. I had readily been...

Hi all! Quick question anyone work at a location that does not do part B billing? The pharmacy I am at does not bill part B and because of this the PIC is convinced we can't bill part D for flu shots... This makes no sense to me. We don't bill part B for test strips so why are flu shots any...

Let's say that I am a PCP, and one of my patients has a high deductible (say, $5,000) insurance plan (HDP). If I assess their symptoms as having a 99212 level complexity, and their insurer pays $25 for a 99212, do I have to take the $25 (which will be coming from the patient of the HDP) or can I...

Oh wise ones, your knowledge is requested, I was trying to figure out options about medicare enrollment/billing. I understand there are multiple options: enrolled and opted out, enrolled and participating (par), and enrolled and nonparticipating (non-par). PAR physicians get paid directly from...