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05/20/2024
A Change Request pertaining to the use of social determinants of health (SDOH) risk assessments during a Medicare annual wellness visit (AWV) stresses provider flexibility as to how they conduct the assessment. That should make it easier to handle the extra steps required.
05/20/2024
Question: I understand that when providers lose their medical licenses they can be fired or removed from a partnership agreement because not having a license prevents them from doing their job, i.e., treating patients and being paid for it. But sometimes these providers get their licenses back. Are there circumstances under which they must be rehired by their former practice?
05/20/2024
Revenue cycle staff are among workers in many industries that are making the shift to remote work. Although there are benefits to working from home, some managers may find themselves struggling to adapt to the changes.
05/20/2024
The National Institute of Standards and Technology (NIST) published NIST SP 800-66 Rev. 2 in February. You can turn to the publication to gain practical guidance and to safeguard health information and better understand the security concepts discussed in the HIPAA Security Rule.
05/20/2024
A new billing policy requires that modifier 33 (Preventive services) appear with the social determinants of health (SDOH) assessment add-on code G0136 on all such claims submitted with annual wellness visits (AWV). This will mean a big change in that modifier’s utilization, which has mainly been limited to four codes (and overwhelmingly used for just one).
05/13/2024
Medicare’s rules for incident-to and split/shared services give your practice the opportunity to gain extra revenue for a non-physician practitioner’s (NPP) work. But the chance to receive 100% of the physician payment when an NPP does all or some of the work for an encounter comes with the risk of significant pain if members of your practice, including physicians and NPPs, don’t follow the rules.
05/13/2024
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, an independent medical coding education consultant, answers some of the many questions she receives pertaining to physician coding for CPT orthopedic services.
05/13/2024
In this issue, Part B News welcomes compliance expert Julia Huddleston, CIPP/US, CIPM, CCSFP, principal with Apgar & Associates, to answer a series of questions about HIPAA compliance areas, focusing on vendor risk management, reproductive rights and telehealth policies. The Q&A session is below.
05/13/2024
CMS published a summary of its first quarter 2024 HCPCS Level II code update application decisions. There were 48 additions, two code definition revisions and seven discontinuations. The additional codes mostly consist of injection and skin substitute products.
05/13/2024
A clarification to the rules for split or shared billing took effect Jan. 1, and a look back at the most-billed codes in claim year 2022 reveals the most frequent locations and types of encounters that groups should keep a close eye on.

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