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12/09/2024
CMS introduced a new care management code set (G3002-G3003) for chronic pain management in 2023. Based on a review of the latest Medicare Part B claims data, nurse practitioners reported the majority of claims.
12/09/2024
Part B News welcomes Julia Huddleston, CIPP/US, CIPM, CCSFP, principal with Apgar and Associates, to shed light on HHS’ recent cybersecurity performance efforts and how medical groups can follow the agency’s goals to bolster their security.
12/09/2024
The conversion factor shave of -2.8% will have a fee-slashing effect on many services in 2025. Due to relative value unit (RVU) adjustments, some codes will net a fee increase next year. But all of the high-volume codes, as labeled by CMS and shown in the chart below, are on pace for reductions in both non-facility and facility settings.
11/25/2024
Practices that treat patients who were eligible for telehealth services before the COVID-19 public health emergency (PHE) take note: Even though the original telehealth rules and requirements will be restored on Jan. 1, 2025, CMS will hang on to a few waivers, including a permanent change for audio-only services.
11/25/2024
Infectious disease specialists should take note of the user-friendly adjustments and clarifications that CMS made to the final version of the new infectious disease consultant add-on code that will go into effect Jan. 1, 2025. For example, CMS clarified that eligible qualified health care professionals (QHP) can report the service.
11/25/2024
Question: I recently read about a third-party biller who was charged with health care fraud and eventually entered a plea agreement — but the practice he worked for was not charged. I thought fraudulent medical billings were always the responsibility of the provider whose services were billed. Is it possible for a biller to be guilty but not the provider?
11/25/2024
At its core, the National Correct Coding Initiative (NCCI) is designed to reduce improper coding and billing practices across CMS programs. Keep up to date with policy manual changes and the latest modifier guidance to keep your claims accurately processed.
11/25/2024
In the rates for Medicare-payable services codified in the physician fee schedule final rule, losers outpace winners — and the winners aren’t doing so well, either.
11/18/2024
CMS finalized its proposal to relax restrictions on complexity of care add-on code G2211. The changes come in response to stakeholder concerns that the current CMS policy is disruptive to the way providers normally treat patients.
11/18/2024
The changes proposed in the final rule for Medicare’s burgeoning behavioral health category have been finalized, expanding its purview beyond previous therapeutic models and even into digital care engaged by the patients themselves.

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