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Some soon-to-be-bundled eye exam codes easily accepted — a few, much less so
09/18/2017
by: Roy Edroso

Of the six eye exam codes eye that will be bundled in new CCI code pairs, four had relatively stable denial rates between 2011 and 2015 — but two of them had remarkably high and much less stable denial rates.

MAC tightens supervision policy for apheresis, diverging from CMS’ stance
09/11/2017
by: Richard Scott
Providers in some states may soon discover a big hurdle to clear when seeking to report a set of apheresis services after one Medicare administrative contractor (MAC) tightened up physician supervision requirements.
On opioids, go beyond the law to make prescribing less dangerous
09/11/2017
by: Roy Edroso

Institute a policy on opioid prescribing to relieve your providers of some decision-making pressure in an age of addiction awareness – and, if you do it right, your providers should still be able to give patients the pain relief they need.

4 reasons to do messaging ‘e-visits’ even if they don’t cut back on office visits
09/11/2017
by: Roy Edroso
If you’re expecting secure messaging with patients to reduce their reliance on face-to-face visits, a new study suggests you’re mistaken, but other benefits make portal and app communications worthwhile.
ICD-10 coding not increasing denials but also not being put to optimal use
09/11/2017
by: Doug Desjardins
In nearly two years since practices adopted the ICD-10 code set, billing and coding experts say the transition has been fairly smooth but that, in most cases, the codes are not being put to their intended use.
5 ways to avoid legal pitfalls hidden in the merit-based incentive payment system
09/11/2017
by: Marla Durben Hirsch
The merit-based incentive payment system (MIPS) can give rise to legal headaches if not approached carefully. Here are five steps to navigate these waters.
Some specialists should watch out for coming apheresis policy change
09/11/2017
by: Richard Scott
Some specialty providers, including those in pathology, nephrology and orthopedic surgery, may have a difficult time seizing payments for apheresis services following a supervision change in one Medicare administrative contractor’s (MAC’s) jurisdiction.
Breaking news: CPT 2018 update delivers 4 new E/M codes, mass revisions and updates
09/11/2017
by: DecisionHealth Editorial Staff
This article was originally published in the Part B News editor's blog. It is not included in the downloadable .pdf for this issue.
Draw up a date-of-service primer for imaging, E/M services to get paid
08/28/2017
by: Richard Scott
Clarify the date-of-service rules you follow for reporting common radiology, pathology and E/M services and you’ll overcome a common pitfall linked to revenue-draining claims rejections.
If payers, or their vendors, are skimming your payments, tell them to stop
08/28/2017
by: Roy Edroso

CMS has been playing with new guidance on “virtual credit card” payments and onerous charges on electronic fund transfer (EFT) payments that might help you keep more of your money – but before their help arrives, you may prefer to help yourself.

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