Part B News | Tool of the Month

Medicare preventive service reference guide

03/16/2015

Use this quick guide to ascertain Medicare-covered preventive services, most of which came at no cost to your patients. You will also find each service’s HCPCS and CPT codes in addition to applicable ICD-9 and ICD-10 diagnosis codes.

Recruiting tool: Questions to consider for new physicians

01/26/2015

Here's a list of questions to give physicians prospects to get them thinking about what they really want in a practice.

Medicare's revised physician fees for 2015

12/30/2014

by: Laura Evans

Here are the 2015 Medicare national allowable fees (not adjusted for locality) for 2015, based on revised RVUs and conversion factor released by CMS on Dec. 30, 2014.

Fight modifier 24 denials with this cover letter

12/08/2014

by: Roy Edroso

Manny Oliverez, CEO of Capture Billing in South Riding, Va., swears by a cover letter his billers use on claims with the problematic 24 modifier, along with good documentation.

Avoid compliance headaches; update your list of services covered by Stark rule

11/10/2014

by: Julia Kyles

Take note of revisions to the procedures and services covered by the Stark Physician Self-Referral rule in the physician fee schedule and make sure your practice isn’t involved in problematic referral arrangements for them.

Medicare’s new medically unlikely edits for primary care doctors’ top-billed codes

08/25/2014

by: Laura Evans

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.

E/M coding reference sheet to select proper E/M codes

06/06/2014

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.

Side-by-side comparison of 95, 97 E/M guidelines for exam

05/26/2014

by: Scott Kraft

Use this chart to determine whether to use the 1995 or 1997 E/M guidelines for documenting your claims.

Tool of the Month: CMS meaningful use audit spreadsheet

12/06/2012

by: Ben Penn

The first round of meaningful use audits has already begun for providers who already received their meaningful use incentive payment. Here is a copy of the spreadsheet file you'd use to submit your supporting documentation to CMS contractor Figliozzi & Company if you were to receive this intiial audit.

Tool of the Month: CMS proposes 13 new quality measures for PQRS

07/16/2012

by: Karen Long

CMS’ proposed 2013 Medicare physician fee schedule boasts several changes, chief of which are new measures for the Physician Quality Reporting System (PQRS) program. Download Part B News’ tool detailing all 13 proposed quality measures via the “Download file” link.

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