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Benchmark of the Week
01/22/2018
The good news for practices whose providers tend to use modifier 24 (Unrelated E/M, same physician, post-operative) is that the denial rates of the codes most often used with that modifier went down in 2016, the most recent year of available Medicare data.
01/15/2018
Physician practices received significant payments — more than $4 billion — on 10 frequently reported E/M services performed the same day as a minor procedure or other service, according to a review of 2016 Medicare claims data, the most recent available.
01/08/2018
Top specialties saw office E/M utilization go down between 2014 and 2016, the most recent year for which we have Medicare data — except for the two top-billing categories of non-physician practitioners (NPP).
01/01/2018
CMS will allow merit-based incentive payment system (MIPS) participants to turn in a minimum amount of data to avoid penalties, but Part B News’ 2018 Predictions Survey shows practices are far more likely to go for a positive payment adjustment. And a surprising number appear to be involved in value-based care models.
12/18/2017

Providers billing immunosuppressive drug claims saw some — but not much — resistance to the several hundred millions of claims they submitted in 2015 and 2016, according to an analysis of Medicare claims data from the two most recently available periods.

12/11/2017
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.
12/04/2017

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.

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.

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