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Technology will drive many compliance trends likely to affect you in 2019

01/14/2019

Your practice will face evolving compliance challenges this coming year. Here’s a rundown of what our experts predict you can expect in compliance in 2019.

Revised supervision rules free up radiology services for assistants

01/14/2019

by: Richard Scott

Practices can welcome a sweeping change to physician-supervision requirements for dozens of diagnostic imaging services performed by radiologist assistants — and the new rules may put more bucks in the bank.

4 key CPT updates to improve your coding efforts in 2019

01/14/2019

by: Richard Scott

Practices will see a spate of coding updates in the new year, with a range of new codes, including E/M services, deleted codes and bundled services that are under the scope. Add the four tips below, gained from the CPT and RBRVS 2019 Annual Symposium that took place Nov. 14-16 in Chicago, to your docket to improve your coding accuracy and compliance as the calendar flips to a fresh year.

Don’t skip billing the primary procedure to avoid CCI, maximize money

01/14/2019

by: Laura Evans, CPC

Question: The orthopedic surgeon performed a total shoulder arthroplasty to treat a fracture (code 23472) and in the same encounter, did an open treatment of a proximal humeral fracture (23615) and a biceps tenodesis (23430). Yet codes 23615 and 23430 are bundled as components of 23472 by National Correct Coding Initiative (CCI) edits.This is leading some at our practice to wonder whether it would be better to just submit the fracture reduction and tenodesis codes and skip billing for the arthrodesis. What is the correct response?

Make sure contract demands receipts on changes — or risk unhappy surprises

01/14/2019

by: Roy Edroso

Question: We have a commercial payer that dropped a sudden rate change on us with no notice; we only found out via a paid claim. The payer says it notified us of the change 30 days before the date by which we had to approve it, but we never received any notice at all. How can the payer expect to get away with this?

Take stock of most-reported codes under personal supervision rules

01/14/2019

by: Richard Scott

In 2019, you’ll find 205 services and procedures that require personal physician supervision, the most rigorous level of oversight for mid-level providers, according to a Part B News analysis of the 2019 final Medicare physician fee schedule.

2018 Quality Payment Program (QPP) data submission open through April 2.

01/14/2019

by: Roy Edroso

CMS opened the 2018 Data Submission Period for the QPP on Jan. 2, and it will run through April 2, 2019. During this period you can submit your reporting data and also make corrections to your submissions. After April 2 neither submission nor corrections will be accepted.

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