Part B News | Part B News

Verify J codes and units of service, prepare for more MUEs after OIG report

08/10/2015

Make sure you are billing your injectable Part B drugs appropriately in light of a recent HHS Office of Inspector General (OIG) report that recommends placing new Medicare limits on J code reimbursement.

Don’t focus on the family — CMS revisits Q-and-A to emphasize ICD-10 rules

08/10/2015

by: Julia Kyles, CPC-A

An unspecified ICD-10 diagnosis code might save a claim from a post-payment audit during the first year after the transition, but it must be valid to get through the initial submission phase, CMS emphasized in its July 31 revision to a Q-and-A document on its ICD-10 safe harbor.

5 tips to improve non-clinical staff retention without spending much money

08/10/2015

by: Roy Edroso

Can’t afford big raises to keep staff? Try low-cost changes first.

Predicting ICD-10: 5 forecasts about the Oct. 1 ICD-10 launch and how to prepare

08/10/2015

by: Richard Scott

Brace yourself for lost productivity and cash-flow issues, as some of your biggest fears related to the ICD-10 transition are expected to come true — to some degree at least. But don’t despair — you control much of your fate.

Use your resource reports to prep for PQRS 2016, beat the value-based cut

08/10/2015

by: Julia Kyles, CPC-A

Focus on the highlights section of the quality-of-care report card CMS creates for your practice to prepare for the value-based modifier (VM) calculation. Using this information now will increase the chance your practice will receive an upward payment adjustment.

Top incorrect units-of-service drugs had low denials through OIG investigation

08/10/2015

by: Roy Edroso

The five drugs that the Office of Inspector General (OIG) says were most frequently overpaid because of incorrect units of service had single-digit denial rates throughout OIG’s 2009 to 2012 investigation period and beyond, according to a Part B News analysis. And with one exception, they didn’t change much.

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