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Benchmark of the Week
11/20/2017

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.

11/13/2017

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.

11/06/2017
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.
10/30/2017

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

10/23/2017
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.
10/16/2017

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.

10/09/2017

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.

10/02/2017
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.
09/25/2017

Many specialty groups beyond primary care took in significant chronic care management (CCM) payments in 2015, with the $31.3 million in reimbursement spread across dozens of specialties.

09/18/2017

Of the six eye exam codes eye that will be bundled in new CCI code pairs, four had relatively stable denial rates between 2011 and 2015 — but two of them had remarkably high and much less stable denial rates.

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