Part B News | Tool of the Month

Observation code crosswalk 2022 to 2023

07/18/2022

Observation-only E/M codes are slated for deletion as of Jan. 1, 2023. Part of the second phase of the E/M coding update folds observation codes into existing inpatient E/M codes and revises the inpatient codes’ descriptors. Use this crosswalk to train staff on the pending changes.

2021 Physician Fee Schedule Rates: Updated 1/4/21

01/13/2021

by: Richard Scott

On Jan. 4, 2021, CMS updated the Part B conversion factor to $34.89, an increase of 8% over the previously finalized rate. The agency also revised total relative value units (RVU) for hundreds of services. Find the latest fees here.

2020 Medical Practice Staff Salary and Trends Report

11/12/2020

by: Richard Scott

Through the array of charts and data contained in this special report, you’ll find key characteristics of the medical practice professional working in ambulatory care settings today. From education and credentialing to emerging responsibilities and shifting practice trends, discover an illustrative look at the key personnel keeping medical practices going strong.

2020 Medicare-covered telehealth services

03/19/2020

by: Richard Scott

About 100 codes, including E/M office visits (99201-99215), are eligible for telehealth reporting under Medicare in 2020. In response to the COVID-19 pandemic, CMS will allow Medicare providers to deliver telehealth services without site-of-service restrictions.

Modifier 25 Decision Tree

01/22/2020

Modifier 25 indicates a "significant, separately identifiable E/M service." Incorporate the tips below and click the "Download file" link above to access a modifier 25 decision tree.

Final 2020 Medicare physician fee schedule

11/01/2019

by: DecisionHealth staff

This major final rule aligns the E/M coding and payment with changes recommended by the CPT Editorial Panel and AMA RUC for office/outpatient E/M visits. The final rule also adds services to the telehealth list and updates payment policies, payment rates and other provisions for services furnished under the Medicare physician fee schedule on or after Jan. 1, 2020.

Modifier 22 Decision Tree

11/01/2019

Modifier 22 indicates "increased procedural services." Incorporate the tips below and click the "Download file" link above to access a modifier 22 decision tree.

Correct Coding Initiative version 25.3 edits

09/06/2019

by: DecisionHealth staff

The Correct Coding Initiative (CCI) version 25.3 edits, effective Oct. 1, 2019, bundle dozens of codes that will restrict a range of same-day services, including some allograft procedures.

Proposed 2020 Medicare physician fee schedule

08/27/2019

by: DecisionHealth staff

This major proposed rule addresses changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute.

Withstand scrutiny of immediate post-op notes with this template.

08/22/2016

This sample template for immediate post-op notes is courtesy of Pikeville (Ky.) Medical Center. Pikeville leadership requires physicians to complete this form before the patient goes to the next level of care unless accompanied by the practitioner who did the procedure. Full post-operative reports should be completed according to hospital policy.

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