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Benchmark of the Week
Give yourself a pat on the back for work well done. By and large, practices that reported multiple procedures on the same date of service performed admirably in 2016, according to a Part B News analysis of recently available Medicare claims data.

The second year in which CMS paid for the chronic care management code 99490 saw a big increase in use — and even providers in specialties that seem ill-suited for the service had little trouble getting it accepted.


If providers at your practice implant neurostimulator electrode arrays, you could be in for a financial windfall in 2018. But if you perform a lot of allergy scratch tests, you’ll likely take a hit.


You’ll find a small payment increase in 2018 for several frequently reported E/M codes, including a 1% jump for office code 99214, which brings the non-facility payment rate to $109.44 per encounter — up a smidge from the 2017 rate of $108.74.

Surgeons are most likely to work in tandem with a non-physician practitioner (NPP) when performing a procedure under Medicare Part B, says a review of surgical modifier claims data.

It looks like things were a little bit better for providers in 2016 than in 2015 as they got more reimbursement with fewer denials.

Do a quick calculation on your drug-code billing; some groups that bill a lot of Part B-covered drugs may see wild swings in their Medicare payment rates under the merit-based incentive payment system (MIPS) in future years.

Of the 82 CPT codes that are to be cleared out as part of the latest CPT changes, two popular codes slated for deletion may especially have an effect on your revenue if you’re not paying attention.


Get ready to pivot to a new suite of imaging codes in 2018 to avoid revenue disruptions that may occur as a slate of current X-ray codes go on the chopping block.

Take note of some interesting patterns among specialties when it comes to hospital inpatient codes, even if the codes’ utilization and denial rates haven’t changed much in recent years.


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