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05/02/2011
Your non-physician practitioners (NPPs) may not be the only providers who find an unexpected bonus payment from CMS thanks to the Primary Care Incentive Payment (PCIP) program, Part B News has learned. A seven-provider infectious disease practice in Florida received an electronic payment of $495 that was identified as PCIP money, according to a consultant hired by the practice.
05/02/2011

You risk being censured for compromising patient care and your office could be flooded with phone calls, faxes, and unexpected patient visits when you don’ t perform the mandatory face-to-face encounter for home health care certifications, experts tell Part B News. “The face-to-face requirement is not something the home health agencies or doctors wanted,” says Ann Rambusch, a home health consultant in Round Rock, Texas.

05/02/2011

Prepare to defend any of your codes affected by National Correct Coding Initiative (CCI) edits against CMS’s recovery audit contractors (RACs), which have begun using the edits as targets for overpayment demands. Two cases in Pennsylvania – a major integrated delivery system called WellSpan Health and a much smaller urology practice – offer evidence that you must pay close attention to CCI changes.

05/02/2011

You can now attest to having achieved meaningful use in 2011 and theoretically get up to $18,000 per provider under the Electronic Health Record (EHR) Incentive Program – though very few practices are in a position to do so this early, experts say. To report that you met meaningful use and are thus eligible for incentive money, you must register all your providers with a CMS website called the EHR Incentive Program Registration & Attestation System.

05/02/2011

You can use a new CMS online tool to see how close your providers are to meeting stage 1 meaningful use requirements, which would yield $18,000 per provider in federal bonus dollars under the Electronic Health Record (EHR) Incentive Program.

05/02/2011

This chart compares specialists’ E/M utilization and denial rates by code level, focusing on the most common (level 3) and the top two levels (4 and 5). NOTE: Primary care is the top biller of E/Ms and was thus not included to emphasize the specialty data. Level 3 E/Ms retain their claim to being the top level billed in terms of sheer volume, accounting for the largest slice of the utilization pie for seven of the 12 specialties analyzed. However, five specialties – cardiology, hematology/oncology, neurology, pulmonary disease and rheumatology – bill more level 4s than level 3s or level 5s.

05/02/2011

We are a cardiology clinic with a cardiac catheterization lab within our facility. We had a patient who had a recheck and a stress test in the office. He developed some atrial fibrillation during the stress test, so our physician had him go to our cath lab to have his rhythm monitored. Per the nursing staff in the cath lab, they gave the patient oral metoprolol and rythmol. They did routine blood pressure checks every 15-30 minutes and continuous telemetry monitoring (single lead monitor) until the patient converted back to normal sinus rhythm. Are there any additional charges for the nursing time spent doing this?

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