Part B News | Part B News

As Senate action on SGR repeal looms, get your practice through the interim period

04/06/2015

You can expect big changes to your reimbursement and reporting policy should the Senate pass the “SGR repeal” bill upon its return to chambers on April 13, but for now, you’ll want to keep submitting your Part B charges without change or hold them until there’s a resolution to the 21% cut that rolled in April 1.

Prepare to withstand ICD-10 cash-flow disruptions with line-of-credit lifeline

04/06/2015

by: Julia Kyles

Avoid the pitfalls of taking out a loan by obtaining a line of credit to stay afloat during the potentially turbulent period after the transition to the ICD-10 code set Oct. 1.

Rethink how you’ll get patients to engage with your EHR as stage 3 approaches

04/06/2015

by: Roy Edroso

Start questioning your electronic health records (EHR) vendor and your patients about their use of health apps in preparation for bold new meaningful use requirements that could wind up making your compliance easier.

Determine whether provider did expanded problem-focused or detailed exam

04/06/2015

by: Scott Kraft

A piece of the 1997 E/M Documentation Guidelines could help you determine the difference between an expanded problem-focused exam and a detailed exam, even if you’re using the 1995 version.

CBA modifiers may apply to DME billing even if you’re not a contract supplier

04/06/2015

by: Roy Edroso

Question: I keep getting a denial from Medicare on E0143 (Walker, folding, wheeled, adjustable or fixed height). I have used the modifiers KX (Requirements specified in the medical policy have been met) and NU (New equipment), then just KX, then just NU. What am I doing wrong?

Don’t report hospital observation, inpatient visit on same patient, same day

04/06/2015

by: Julia Kyles

Question: I have a doctor who is asking: Can we bill inpatient codes and observation codes for the same hospital stay for our patients?

ICD-10-CM transition cost linked to practice size, survey shows

04/06/2015

Many estimates have been floated about how much the transition to the ICD-10-CM code set will cost, but to date, practices have spent an average of $17,108 getting ready for the big switch.

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