Part B News | Part B News

Prepare to add new prolonged service codes to your E/M roster

07/25/2016

You’ll find a new billing opportunity for the work your providers conduct behind the scenes in 2017, as CMS proposes to activate two CPT codes — 99358 and 99359 — that pay for non-face-to-face prolonged services, according to the proposed 2017 Medicare physician fee schedule.

Use good coaches and groups to get paid for diabetes prevention

07/25/2016

by: Roy Edroso

Make the Medicare Diabetes Prevention Program (MDPP) laid out in the proposed 2017 Medicare physician fee schedule a win for your practice from a care and a financial perspective by leveraging efficiencies.

How to hire, bill appropriately for temp providers and avoid lost payments

07/25/2016

by: Roy Edroso

It’s summer vacation time, so make sure your vacating providers are properly covered by locum tenens — whether they’re called that or not.

CCI edits: Shoulder debridement edits get deleted but restrictive CCI policy remains

07/25/2016

by: Laura Evans

Watch out for an inconsistency in Medicare and private payer billing policies that affects your practice’s shoulder coding.

Here’s how to code an endoscopic swallowing study in a facility

07/25/2016

by: Laura Evans

Question: My ENT physician has been providing flexible fiberoptic endoscopic examination of swallowing (FFEES) studies at a facility, mostly billing FFEES code 92616, and she has been doing the interpretation and report. Many of the patients are in an inpatient stay, and Medicare has not been reimbursing her for code 92616 because of place of service 21 (inpatient hospital). Can she just report the flexible laryngoscopy code 31575 used in providing the swallow study, since she does bring her own scope?

Family medicine, hematology expect gains in 2017 payments; others take cuts

07/25/2016

by: Richard Scott

Family practice, internal medicine and hematology/oncology providers are among 22 specialty groups that can look forward to an increase in allowed Medicare charges in 2017, while 14 groups will sustain payment cuts, according to the proposed 2017 Medicare physician fee schedule.

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