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Three new HCPCS Level II G codes are added to the Medicare Telehealth Services list for Calendar Year (CY) 2020. These codes describe new bundled services for the treatment of opioid use disorders (OUD). The Centers for Medicare & Medicaid Services (CMS) states in the 2020 Physician Fee Schedule final rule, “By creating a separate […]
The post New G Codes Bundle Opioid Use Disorder Treatment appeared first on AAPC Knowledge Center.
New proposals address the need for novel ways to fight the opioid epidemic plaguing the United States. On July 29, 2019, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that includes suggestions for updating payment policies, payment rates, and quality provisions for services furnished under the Medicare Physician Fee Schedule (PFS). CMS’s […]
The post Combating the Opioid Epidemic: CMS’s Proposed Rule appeared first on AAPC Knowledge Center.
We’ve all heard of opioid addicts who make up aches and pains, fake injuries, or hurt themselves in hopes of being prescribed Vicodin, Percocet, etc. As the opioid crisis’ grows, so do its boundaries, with family pets becoming its next victims. For example, opioid addicted owners will sometimes hurt their pets to get a veterinary […]
The post Latest Opioid Addict Victims: Pets appeared first on AAPC Knowledge Center.
When coding opioid use disorder, you’ll need to know the sequencing rules to select an appropriate ICD-10-CM code. Opioid abuse, addiction, and overdoses are a serious public health problem. According to the National Institute on Drug Abuse, more than 115 people in the United States die after overdosing on opioids, every day. The Centers for […]
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Another opioid pill mill gets busted by the Medicare Fraud Strike Force. A “pain management clinic” in Hialeah, Florida, owned by David Bosch and Tania Sanchez, which operated under the name East Medical Office Inc., unlawfully distributed thousands of pills of oxycodone, during the period of April 2017-May 2018. It was a cash-only clinic, which remained […]
The post Busted! Florida “Pain Management” Clinic Runs an Opioid Pill Mill appeared first on AAPC Knowledge Center.
We’ve seen a surge of Department of Justice (DOJ) takedowns of doctors who committed prescription fraud and abuse of opioid drugs. As prescription opioid addiction grows, so does the crackdown on abuse of federal dollars funding physicians who are feeding patient addiction. On March 9, 63-year-old Jerrold N. Rosenberg, MD, of Rhode Island was sentenced […]
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The Office of Inspector General’s (OIG) ongoing target of opioid fraud and abuse of taxpayer’s money will continue as the U.S. opioid crisis continues. The latest takedown was Rodney Moret, MD, age 67, who was sentenced to “75 months’ imprisonment for participating in conspiracies to distribute prescription pills illegally and to defraud,” according to the […]
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The Office of Inspector General’s (OIG) combat on healthcare fraud, waste, and abuse of taxpayer’s money recovers $ 5 for every $ 1 spent on investigating, which gives them incentive to target more areas of fraud. The OIG’s latest and largest fraud takedown happened this month when opioid fraud was exposed with the help of state and federal law […]
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