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03/14/2014

SGR repeal doomed? Also: a change to the meaningful use exception form, and Sebelius says the ACA enrollment deadline is firm.

03/14/2014

The top utilized codes attributed to non-physician practitioners (NPPs), including physician assistants (PAs) and nurse practitioners (NPs), in 2012 Medicare claims data probably won’t surprise you, but some of the denial rates further down the list may.

03/10/2014
Tighten your documentation in anticipation of appeals as a change in the way recovery auditors (RACs) deny “related” claims may send you more unexpected — and mostly unexplained — claims denials.
 
03/10/2014
Some practices could get a break on meaningful use penalties this year if vendor unreadiness is what’s holding up their compliance — and they can prove it.
 
03/10/2014
Your practice faces state medical board licensing problems or investigations by the Office for Civil Rights (OCR) if it incorrectly calculates the amount to charge patients for copies of medical records.
 
03/10/2014
Just-released billing rules for the expanded coverage of an oral version of a three-drug regimen used to fight nausea and vomiting for patients receiving certain types of chemotherapy drugs may shift billing and payment for those drugs — and the associated revenue — from your practice.
 
03/10/2014
Private insurance plans aren’t the only ones required to offer physician practices the right to receive payments via electronic funds transfer (EFT). The Medicare administrative contractors (MACs) also must standardize EFT transfers, a change that may impact the way you receive your Medicare payments.
 
03/10/2014
Need expert answers to your most pressing physician practice questions? Part B News will find them for you. Email your questions to askpbn@decisionhealth.com.
 
03/10/2014
Practices that are able to use an oral three-drug regimen for treating nausea in cancer patients receiving chemotherapy drugs including J9263
(Oxaliplatin) and J9025 (Azacitidine) could see new revenue in May.
 
03/03/2014

Practices may not get as much of a break as they hope with the pause in recovery auditor (RAC) additional documentation requests (ADRs).

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