Home | News & Analysis
Part B News
10/07/2024
From lacerations and burns to simple vs. complex conditions, coding in the emergency department (ED) comes with its own set of rules. Apply the following insights to your coding to efforts to ensure you are staying compliant.
10/07/2024
Share the latest Medicare physician fee schedule update to make sure staff have the current codes for drugs used for pain blocks, cancer treatment and sedatives administered for moderate sedation. The update went into effect Oct. 1, and if your practice submits deleted codes you’ll have to revise and resubmit faulty claims to get paid.
10/07/2024
Question: With the rise of telehealth services post-pandemic, what measures should health care organizations take to ensure HIPAA compliance and protect patient information in virtual environments?
10/07/2024
Providers can use remote physiologic monitoring (RPM) to treat a range of acute and chronic condition. But according to a recent evaluation and inspection report from the HHS Office of Inspector General (OIG), essential hypertension topped the list of primary diagnosis codes on claims for RPM services (99091, 99453, 99454, 99457, and 99458).
09/30/2024
The result of the 2024 presidential election, whichever way it breaks, promises a reprise and perhaps some small advances on health care policies you’ve seen before. As to financial impact on providers, the real power for change appears to lie elsewhere.
09/30/2024
A national warning on third-party billers should serve as a reminder to all providers who bill Medicare for their services: They must know enough about coding and billing rules to check up on claims submitted in their name to protect themselves from accusations of fraud.
09/30/2024
Question: Is there any law that says a medical provider can’t date one of their patients?
09/30/2024
Question: How are recent advancements in artificial intelligence (AI) and machine learning (ML) impacting the management of patient data privacy, and what best practices should HIPAA compliance officers implement to address these challenges?
09/30/2024
Question: Have you ever encountered a practice wanting to bill T1016 (Case management, each 15 minutes) for a workers’ compensation visit where the case manager is present and the provider discussed the case with them? The practice wants to report T1016 in addition to the office visit E/M code. When I researched this code it appears to be for behavioral/mental health and not the work comp case manager situation. Do you have any insight on this?
09/30/2024
As the use of RPM services surged in recent years, OIG is seeking additional safeguards to ensure that RPM “is used and billed appropriately in Medicare.”

Login

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