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Answers to 8 questions about SGR repeal bill’s impact on PQRS, meaningful use

04/13/2015

Look over the horizon and you’ll see big changes to data-reporting systems, including the Physician Quality Reporting System (PQRS) and meaningful use programs, if the “SGR repeal” bill gets a thumbs-up from the Senate in mid-April.

Feds’ data analysis of doctor’s prescription pattern leads to guilty plea

04/13/2015

by: Marla Durben Hirsch

Don’t think your physicians’ billing activity is too small to be noticed. A new case demonstrates that the government’s radar can go more deeply into the weeds than ever.

OIG ramps up meaningful use audits on top of CMS’ audit efforts

04/13/2015

by: Marla Durben Hirsch

If you thought practices couldn’t be audited any more than they already are, brace yourself: HHS’ Office of Inspector General (OIG) has begun to audit physicians’ compliance with the meaningful use electronic health record (EHR) incentive program.

‘Floor time’ allowable when documenting time for inpatient E/M services

04/13/2015

by: Scott Kraft

Make sure that face-to-face time spent counseling the patient or coordinating care dominates the total service time when you’re also counting “floor time” in the hospital toward an E/M visit.

Pre-op work-up on screening colonoscopy not billable — unless something changes

04/13/2015

by: Roy Edroso

Question: Is the E/M service on a screening colonoscopy billable?

Drug price changes show 101.9% higher payments for albuterol

04/13/2015

by: Scott Kraft

About a handful more drugs saw their Medicare prices increase April 1 compared with those that decreased, according to a Part B News analysis of drug price changes under Medicare’s payment formula, which uses the average sales price (ASP) plus 6%.

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