Part B News | Part B News

New DMEPOS fee schedule has some steep price cuts for your patients

12/14/2015

CMS’ new fee schedule for durable medical equipment, prosthetics, orthotics and supplies (DMEPOS) mandates big price drops for some medical equipment — but may lead to availability issues as suppliers are driven out of competition.

CCI: Don’t unbundle codes without cause, watch anatomic location

12/14/2015

by: Richard Scott

Specify the primary and secondary locations for specific procedures involving bundled codes, such as lesion removal and nail debridement, and heed other code pairs that are under CMS’ spotlight to avoid losing out on revenue in 2016.

Public to play larger role in feedback for new, revised code values

12/14/2015

by: Scott Kraft

Expect to be able to play a larger role starting with the 2017 proposed Medicare physician fee schedule for virtually all new and revised code values, CMS confirmed in the 2016 final fee schedule rule.

Don’t stop ICD-10 education; keep it up to close revenue-draining training gaps

12/14/2015

by: Julia Kyles

Don’t let up on your ICD-10-CM training efforts even though you’ve made it through the first two months of the transition without major mishaps. Many respondents to Part B News’ recent ICD-10 survey indicated that a lack of familiarity with the new codes and providers who still need training are slowing down the coding process and, with it, the flow of revenue.

Setting up patient and her nurse for home care? Nice, but you can’t charge

12/14/2015

by: Roy Edroso

The patient supplied the meds and the nurse, who is not affiliated with us, performed vitals and monitored for potential reactions. Our provider checked on the patient a few times and supervised the overall visit. How do we bill?

Judge dismisses FTC’s case against LabMD.

12/14/2015

An administrative law judge has tossed the Federal Trade Commission’s (FTC) lawsuit against LabMD stemming from a data breach that caused patient files to be found on a peer-to-peer network on the Internet.

CMS issues RFPs for new recovery auditor contracts.

12/14/2015

CMS has released its request for proposal (RFP) for new recovery auditor contracts.

Senate passes cyber bill; chambers to reconcile.

12/14/2015

The Senate has passed the Cyber Security Information Sharing Act (CISA), which enhances the sharing of information about cyber threats from the government to industry as well as among health care organizations and other entities.

Survey: Multispecialty practices’ cash flow hardest hit in ICD-10 transition

12/14/2015

by: Roy Edroso

Many practices have reported a smooth transition to ICD-10 with only a little bit of an overtime hangover. But a surprising percentage of the 202 respondents to Part B News’ recent ICD-10 aftermath survey reported cash-flow problems in the first days afterward.

Correction

12/14/2015

Re: “Case study: Lay the groundwork for a successful medical home transition” from our Nov. 23 issue.

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