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08/17/2009

Download this month's tool, 10 Pieces of Information You'll Need to Complete Medicare Enrollment Using Internet-based PECOS, from the Part B News website, www.partbnews.com.

08/17/2009

Whether it's Medicare patients seeking routine care of a chronic condition or a privately covered patient in for a well-woman visit, you're bound to run into the dreaded multiple-service, same-visit scenario (see story here). Here are five ways you can prepare before any of your patients stalk out the door.

08/17/2009

Major changes to Medicare's coverage rules for PET scans are being delayed so CMS can tweak them, Part B News has learned. Transmittal 1772, released July 17 and set to be implemented Aug. 17, has been rescinded so that CMS can clarify specific provisions, an agency spokeswoman tells Part B News.

08/17/2009

This chart shows the ten specialties that had the highest practice expense per hour, according to the 2007-2008 Physician Practice Information Survey (PPIS), administered by the AMA in conjunction with CMS.

08/17/2009

Your ambulatory surgery center (ASC) needs to be ready for a surprise CMS inspection at anytime, thanks to a new HHS inspection program to cut down on healthcare-associated infections (see story here). Follow these 12 guidelines approved by the CDC and HHS to minimize the occurrence of the four most common types of infections - and to keep your ASC safe during a surprise inspection.

08/17/2009

Your ambulatory surgery center (ASC) could be one of more than 125 ASCs to face surprise inspections by state officials starting sometime in August, according to an HHS announcement. Those 125 will be the first of thousands to face inspection.

08/17/2009

Your practice may see tougher enforcement of HIPAA security and privacy rules now that authorities policing the law are under one roof, experts tell Part B News. HHS transferred authority to enforce HIPAA security rules from CMS to the Office for Civil Rights (OCR), which already handles enforcement of privacy rules. The move eliminates duplication and will make enforcement of HIPAA regulations more efficient, HHS stated on Aug. 3.

08/17/2009

You can soon expect better and quicker customer service from your carrier after CMS outlined a series of new mandates in an Aug. 7 transmittal. CMS is setting the bar higher for your Medicare Administrative Contractor (MAC).

08/17/2009

Picture this: During a visit for one covered, specific health issue, a patient brings up unrelated problems that are not covered, so you bill the patient for the additional work. The patient is upset by having to pay extra, complains loudly and the next thing you know, your local television station is camped outside trying to ask you questions. The result is an unfriendly headline: "Woman Charged Extra for Asking Doctor Too Many Questions."

08/17/2009

You now know what targets your Recovery Audit Contractor (RAC) will be looking for if you're in one of the 17 Region D states. A total of seven CMS-approved audit targets were released by HealthDataInsights (HDI) on Aug. 12. They are the exact same targets Connolly Healthcare posted on Aug. 4 (PBN 8/10/09).

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