Part B News | Part B News

NPPs get hired without licenses, despite exclusion; keep your guard up

05/08/2023

A no-longer-licensed physician assistant (PA) was hired by a practice and worked as a PA on thousands of cases before being found out, leading to a prison sentence for her and a potential loss of thousands in billings for the practice. The case is a reminder that you have to make sure not only that your clinical workers meet specific licensing requirements, but also that you don’t let them veer out of compliance and put you and your patients at risk.

Proposed HIPAA rule would protect PHI related to reproductive health care

05/08/2023

by: Julia Kyles, CPC

Prepare to update your HIPAA compliance plan. A proposed rule issued by the HHS Office for Civil Rights (OCR) on April 12 would require stronger guards on protected health information (PHI) related to reproductive health care.

OCR seeks public input on reproductive health definition

05/08/2023

by: Julia Kyles, CPC

The HHS Office for Civil Rights (OCR) intends to create a specific definition for reproductive health to clarify the types of protected health information (PHI) that are covered by the proposed update to the privacy rule..

Modifier 25 decision tree can prevent denials, claims errors

05/08/2023

by: Julia Kyles, CPC

Use this decision tree to improve your staff’s accuracy when turning to modifier 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service).

Find expert tips to dodge real-time CPT coding and billing errors

05/08/2023

by: Thea Sinclair

Thea Sinclair, content writer at Medcare MSO, provides a roadmap for avoiding common coding and billing snafus that can lead to revenue loss.

Total ABN modifier use up in 2021, but three of four fell hard

05/08/2023

by: Roy Edroso

Practices’ use of the four modifiers related to advance beneficiary notices of non-coverage (ABN) was steady overall between 2020 and 2021. But gains and losses in 2021 were differently distributed than they had been the previous year, with three modifiers taking a nosedive.

Login

User Name:
Password:
Remember me Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.