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03/12/2018

While it’s important in the era of high-deductible insurance plans to get patients to pay their bills in a timely manner, experts say you don’t have to hassle or alienate them — in fact, training the patient to pay is as important as training the staff to ask properly for payment.

03/12/2018
You’ll find updated billing restrictions on a new cognitive function therapy code that CMS approved for 2018 reporting amid the latest Correct Coding Initiative (CCI) edits, which go into effect April 1.
03/12/2018
Tread carefully when opting for modifier 59 (Distinct procedural service) when reporting multiple procedures on the same day and implement CMS’ guidance on anatomic sites, separate encounters and more to get your claims paid correctly.
03/12/2018
Citing pushback from numerous physician groups, Anthem Inc. announced it would not move forward with its planned pay cuts impacting same-day services involving modifier 25 (Significant, separately identifiable E/M service), which had been set to reduce E/M rates by 25% on March 1.
03/12/2018
Take note of the news that happens between Part B News issues by checking out the free Part B News blog at https://pbn.decisionhealth.com/Blogs/default.aspx. Here’s a sampling from this week.
03/12/2018
Clinical psychologists outpaced other specialists when reporting cognitive-training code 97532, now deleted, yet all reporters, including occupational therapists and primary care providers, should take note of CMS’ guidance to use HCPCS code G0515 (Development of cognitive skills to improve attention, memory, problem solving [includes compensatory training], direct [one-on-one] patient contact, each 15 minutes) in its place in 2018.

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