Part B News | Part B News

IRS crackdown shows your COVID program responsibilities aren’t over

10/09/2023

An Internal Revenue Service (IRS) “moratorium” on a COVID relief program serves as a warning to providers who received tax credits, and it may speak to dangers beyond this specific program. Several other loan and grant opportunities, some of which stretch back to the early days of the pandemic, have requirements that you might have missed or not yet been asked for.

HHS disability rule may require new equipment, from kiosks to scanners

10/09/2023

by: Roy Edroso

A proposed rule from HHS’ Office for Civil Rights (OCR) sets new standards for the accessibility of a variety of medical practice equipment to the disabled and may leave non-compliant practices vulnerable to fines and even lawsuits.

Pay attention to Medicare POS limits for procedures in non-facility (office) setting

10/09/2023

by: Laura Evans, CPC

Question: We had a provider perform an excision of prepatellar bursa (27340) in the office, place of service (POS) code 11. Patient has United Healthcare Shared Services-GEHA insurance. They denied the claim stating that CPT 27340 is not billable with POS 11. I have never had this issue before. Are there any coding rules/guidelines that prohibit use of some CPT codes at certain places of service or is this some weird payer-specific rule?

Capture the beat: Correctly report CPT codes for cardio testing, monitoring

10/09/2023

by: Savannah Schmidt

Review the most common types of external diagnostic cardiology tests, examine relevant CPT coding guidelines, and offer reporting advice from expert sources to ensure your billing patterns are capturing the right services.

2022 saw historic drops in Part B utilization and payment; tests rise

10/09/2023

by: Roy Edroso

Based on just-released Medicare Part B claims data, the 15 most-billed codes in 2022 were similar to those in 2021 and 2020, with one major COVID-related exception. But overall Medicare utilization and reimbursement took a big hit compared to prior years.

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