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01/15/2024
Late in 2023, medical practice and physician groups called for changes in a proposed rule that would add tough “disincentives” for information blocking, including a zero MIPS Promoting Interoperability score and exclusion from the Medicare Shared Savings Program (MSSP). As comments on the rule closed on January 2, it won’t be long before these groups find out whether they swayed the feds, or if penalties await providers who are out of compliance.
01/15/2024
Part B News recently covered an uptick in Medicare Advantage organizations’ provider site audits -- and the possibility that auditors would try to interview providers’ staff. Here with an expert perspective on how to handle that is former prosecutor Sam J. Louis of the Holland & Knight law firm in Houston.
01/15/2024
The 2022 CPT Manual included 249 new codes across a range of services. However, analysis of the most recent Medicare Part B data reveals that the top 10 new procedure and service codes in 2022 were represented by additions to the manual’s E/M, anesthesia, eye and ocular adnexa, nervous system and medicine chapters.
01/08/2024
Important changes are coming for physician E/M reporting in 2024. In particular, coders should note the changes for reporting telemedicine services, split or shared visits, multiple visits, and hospital or observation care same day admission and discharge. Be sure to make notes or underline changes in your CPT manuals to remember the changes as they start this year.
01/08/2024
You had to review and update your training materials for split/shared visits when CMS completely revamped the rules in 2022. You should review your split/shared materials again to make sure they match the CMS rules and CPT Manual guidelines that went into effect Jan. 1, 2024.
01/08/2024
The Office for Civil Rights (OCR) issued two resources in October to help explain to patients the privacy and security risks associated with telehealth services, as related to personal health information (PHI).
01/08/2024
Physicians who routinely set up a cardiac rhythm monitoring system for remote evaluations will be pleased with a financial boon for their effort in 2024. The payments for two specific cardiac rhythm monitoring codes, 93297 and 93298, are on track to rise 130% and 283%, respectively.
01/01/2024
Welcome to our annual predictions issue, where Part B News casts a forward eye to project the defining events of 2024 and the critical impact they might have on medical groups. After checking in with industry insiders, polling our readers and weighing the latest announcements from federal agencies, Part B News compiled seven predictions touching on compliance-based clawbacks, new billing opportunities, telehealth movement and more.
01/01/2024
In our annual predictions issue, Part B News looks back on how well we fared calling shots during the previous calendar year. Heading into 2023, we assessed the future of Medicare reimbursement, the end of the public health emergency, behavioral health care growth and more. Here is an uninhibited look at how we fared.
01/01/2024
The new year is delivering a batch of fresh billing opportunities for medical groups, and many practices say they will take advantage of an E/M add-on code and an assessment service capturing patients’ social determinants of health.

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