Part B News Features
Question: Have you ever encountered a practice wanting to bill T1016 (Case management, each 15 minutes) for a workers’ compensation visit where the case manager is present and the provider discu... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The projected share of individuals under Medicare coverage will grow substantially over the next decade, accruing approximately 23% growth between 2024 and 2034. The Medicare surge is projected to hap... More
Question: Have you ever encountered a practice wanting to bill T1016 (Case management, each 15 minutes) for a workers’ compensation visit where the case manager is present and the provider discu... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
The projected share of individuals under Medicare coverage will grow substantially over the next decade, accruing approximately 23% growth between 2024 and 2034. The Medicare surge is projected to hap... More
Tools
Prepare members of your treatment and coding teams for changes to the diagnosis code set that will go into effect Oct. 1, 2024. Download and share the Excel file that contains five spreadsheets.
Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).
Benchmark of the Week
The projected share of individuals under Medicare coverage will grow substantially over the next decade, accruing approximately 23% growth between 2024 and 2034. The Medicare surge is projected to happen while employer-sponsored plans also grow, but Medicaid numbers take a big hit.
Providers can use remote physiologic monitoring (RPM) to treat a range of acute and chronic condition. But according to a recent evaluation and inspection report from the HHS Office of Inspector General (OIG), essential hypertension topped the list of primary diagnosis codes on claims for RPM services (99091, 99453, 99454, 99457, and 99458).

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