Part B News Features
Question: Our surgeon did a diagnostic knee scope (29870) and, based on the results, determined that the patient required a total knee replacement. If he does the total knee replacement (27447... More
In perhaps another sign of the growth in services furnished by non-physician practitioners, the SSA is being asked to give equal weight to the medical findings of NPPs when determining whether a pe... More
Practices should pay attention to CMS’ new modifiers for distinct procedural services (XE, XS, XP, XU) to avoid potential denials — especially neurologists and family practitioners.... More
Question: Our surgeon did a diagnostic knee scope (29870) and, based on the results, determined that the patient required a total knee replacement. If he does the total knee replacement (27447... More
In perhaps another sign of the growth in services furnished by non-physician practitioners, the SSA is being asked to give equal weight to the medical findings of NPPs when determining whether a pe... More
Practices should pay attention to CMS’ new modifiers for distinct procedural services (XE, XS, XP, XU) to avoid potential denials — especially neurologists and family practitioners.... More
Tools
For your reference, here are the MUEs that took effect July 1 that affect primary care practices the most. As you can see, CMS has expanded its presentation of these edits. MUEs limit the number of units of service for which a code may be billed by a provider for the same patient during one calendar day.

Use this tool, provided by Nancy Enos, consultant and coding educator at Enos Medical Coding in Warwick, R.I., to ensure proper E/M coding. 

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Poll
How do you feel about the potential delay of ICD-10 for at least a year?
Disappointed because we were ready
 
41%
OK with it because we could have been ready but appreciate more time
 
41%
Happy because we likely wouldn't have been ready
 
18%
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