Part B News
02/06/2012

The stress of first quarter collections does not have to fall entirely on your shoulders. Contract with a third party credit card processing company that will set up financially strapped patients on a payment plan, and increase your cashflow. BonusThis automatic outsourced system will save you and your patients time.

02/06/2012

Thanks to Congress’ rushed effort to shield providers from the scheduled 27.4% rate cut, you will see several changes affecting billing and payments in an emergency update to the 2012 Medicare Physician Fee Schedule.The update alters relative value units (RVUs) for some codes, which guarantees them through Feb. 29, the last effective day of the fee fix. 

02/06/2012

More evidence that careless electronic health records (EHR) implementation could lead to denials: A recent Trailblazer Health Enterprises probe review revealed a 40% error rate for new patient Evaluation and Management (E/M) visit documentation, a trend the Dallas-based carrier’s medical director attributes in large part to faulty EHR systems.

02/06/2012

It’s best to be prepared in the event that you’re the subject of an investigation by a private payer’s special investigations unit (SIU), which are more serious and have stronger repercussions than a routine payer billing audit (PBN 1/30/12).

02/06/2012

In addition to the five scenarios that are holding up provider payments (see related story), the Medical Group Management Association (MGMA) released its letter Feb. 1 to HHS outlining a dozen 5010 transition issues that are clogging claims processing. TIPYou can see MGMA’s full letter to HHS at: www.mgma.com/WorkArea/DownloadAsset.aspx?id=1369699

02/06/2012

This chart presents four wound care debridement codes and their corresponding denial rates for each year from 2000 until 2010 based on CMS claims data. NOTE: CMS claims data for 97597 was not available before 2004. The data from 2004 was negligible because the code was not in effect until 2005 and all claims that billed 97597 that year were automatically denied.

02/06/2012

Can a physician who performs electrocardiograms (EKG) in his or her practice bill the service as part of medical decision-making? Example: One point for ordering the test plus two points for independent visualization to equal three points. Is this considered “double-dipping”?

02/01/2012

When HHS Secretary Kathleen ­Sebelius issued a strategic plan for her huge federal agency in 2010, she cited the need for "transparency," emphasizing that President Obama was committed to "creating an unprecedented level of openness."

02/01/2012

The Super Committee's abject failure to compile a plan that reduces spending by $1.2 trillion over 10 years was no surprise. But now, some healthcare leaders are looking with dread at the "sequester," a process by which hospitals and physicians will see automatic Medicare reimbursement cuts of 2% starting in 2013 through 2021.

02/01/2012

Independent physician practices are slowly fading away, and with the advent of healthcare reform, the pace may be about to get much quicker. It's only one of a few troubling signs about the physician labor pool, which seems increasingly dissatisfied with their career choice and the direction of the healthcare industry.

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