Part B News | Part B News

Capture additional dollars with new, reworked CCM codes as CMS eases rules

11/14/2016

Take a good look at the changing chronic care management (CCM) landscape for 2017 to capitalize on new and revised services, which include a 5% pay boost for 99490 and the introduction of three CCM-related codes.

Shared Savings ACOs get assigned beneficiaries, measure changes in fee schedule

11/14/2016

by: Roy Edroso

CMS will begin allowing prospective assignment of beneficiaries to Shared Savings accountable care organizations (ACOs), meaning practices will know which patients are assigned to them before providing care – but that probably won’t help control their quality scoring.

Medicare’s moderate sedation policy puts a wrinkle in time — and your coding

11/14/2016

by: Julia Kyles

Make sure staff — and your billing software — pick up on three new twists to moderate sedation billing when the surgeon who performs certain gastrointestinal procedures also provides the moderate sedation for patients over the age of 4.

Behavioral health integration, dementia care will pay in 2017

11/14/2016

by: Richard Scott

You’ll find a ticket to getting paid in 2017 when you wrap behavioral health services into your practice, according to the final 2017 Medicare physician fee schedule released Nov. 2.

Independent labs take big hit, but most specialties steady in final fee schedule

11/14/2016

by: Roy Edroso

Below are impacts of reimbursement changes in the final 2017 Medicare physician fee schedule by selected specialties.

Online only: Pay cuts, misvalued codes, policy changes and more in final 2017 fee schedule

11/14/2016

Use this list of payment changes, policy changes and quality reporting notes from the final 2017 Medicare physician fee schedule, released Nov. 2, to prepare your practice for 2017.

Online only: Diabetes prevention program approved – but new entrants may have to wait to bill

11/14/2016

by: Roy Edroso

Providers who offer a new Medicare Diabetes Prevention Program (MDPP) can be paid for sessions all year, even if participating beneficiaries don’t meet weight-loss targets CMS had proposed.

Online only: Medicare Advantage providers must meet enrollment requirement

11/14/2016

by: Roy Edroso

CMS will require providers and suppliers to be screened and enrolled in Medicare before they can contract with Medicare Advantage (MA) organizations to provide items and services to those beneficiaries.

Online only: CMS dramatically scales back global period data-collection program

11/14/2016

by: Laura Evans, CPC

The majority of surgeons who bill Medicare can breathe a sigh of relief: You won’t be required to report mandatory, unpaid G-codes for your post-operative services provided during 10- and 90-day global periods this year.

Online only: Off-campus hospital outpatient services get paid half; physicians’ pay status-quo

11/14/2016

by: Roy Edroso

Physicians who bill under the Medicare physician fee schedule for their work at provider-based hospital departments will see no change under new provisions in the outpatient prospective payment system (OPPS) final rule.

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