Part B News | Editors' Blog

Early-release Obamacare proposed rule has sops to insurers, drug-diagnosis risk adjustment

by: Roy Edroso Aug 31, 2016

A proposed HHS/CMS rule on governance of state and federal Obamacare exchange health plans offers payers some breaks in a contentious insurance environment.

CPT 2017 contains maggots, moderate sedation changes

by: Laura Evans, CPC and Julia Kyles, CPC Aug 30, 2016

As you page through your newly released 2017 CPT manual, the biggest change you’ll notice may be what’s missing: The list of more than 400 codes that were defined as including moderate sedation has been deleted from Appendix G.

Providers await key piece to CPC+ puzzle, says industry group

by: Richard Scott Aug 30, 2016

As the application deadline nears for the Comprehensive Primary Care Plus (CPC+) program, one industry group is calling for CMS to release additional details about how the incentive payments work.

CMS: 2016 first-time meaningful users have until Oct. 1 to attest

by: Roy Edroso Aug 29, 2016

In a provider call on Aug. 25, CMS reminded providers of their reporting responsibilities in the final year of meaningful use – including a short reporting window for first-time attesters.

Docs not fond of proposed global period G codes – here’s why

by: Laura Evans, CPC Aug 26, 2016

Suffice it to say that doctors are less than thrilled with a CMS physician fee schedule proposal that would require surgeons to report eight G codes starting Jan. 1 for services provided during 10- and 90-day global periods.

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