2026 MEDICARE REIMBURSEMENT RATES

by AJ Riviezzo The proposed increase in reimbursements for physicians and, in particular, for venous disease is creating no end of confusion.  It was almost simpler when it was a reduction as no one wanted to know the particulars.  Cheryl… Read More

MEDICARE AUDIT CONSIDERATIONS

by AJ Riviezzo After a bit of peace and quiet from Medicare audits, the processes seem to be ramping up again. This is particularly true for anyone in the WPS and NGS Medicare Administrative Center regions. Of note in this most recent… Read More

VARITHENA CREATIVITY

by AJ Riviezzo For whatever reason, the Varithena codes and use of same seem to have a never-ending bit of creativity. The latest interesting twist is a practice using Physician Compounded Foam (PCF) and billing the Varithena codes. The reason they are… Read More

TIME BASED VS MDM CHARTING

by Cheryl Nash In 2021 we wrote an article detailing the changes to the Evaluation and Management (E&M) coding system set by the AMA to go into effect Jan. 1 of that year. (link to blog?) The changes were exciting… Read More

CMS PROPOSED INCREASE

by Cheryl Nash Perhaps you have heard of the big news coming from Medicare this past few weeks; July is the month that CMS releases their Proposed Rule for the following year. This rule includes the highly anticipated, and sometimes… Read More

PRACTICE MANAGEMENT TRAINING

by AJ Riviezzo For years I have been advocating (badgering perhaps) the American Vein and Lymphatic Society (AVLS) to increase the format and time window of classes specifically for physicians and practice managers regarding how to manage, market, hire, fire… Read More

VARITHENA BILLING CONCERN

by AJ Riviezzo We are hearing that some physicians are being told by some other physicians a new, and potentially fraudulent, process when it comes to using Varithena. They are being told they can use 1 ml of Varithena to initiate… Read More

AMERICAN VEIN AND LYMPHATIC SOCIETY

by AJ Riviezzo The American Vein and Lymphatic Society (AVLS) has had some rather turbulent times over the past couple of years. I know personally that the AVLS Board and new management team is working diligently to correct the problems and… Read More

EHR’S CAUSING DIAGNOSIS CODING ERRORS

by Cheryl Nash 2025 is the 10th year anniversary for ICD10 and yet I am still amazed at how many claims I review with an unspecified diagnosis code. The premise of an expanded code set was to allow for more… Read More

NO SURPRISES ACT ASSISTANCE

by AJ Riviezzo The surprise billing and protecting consumers was put into place as of January 1, 2022. Practices have struggled to put something together for their patients to be in compliance and that makes sense. Part of the focus of the… Read More