Part B News

Long-awaited CMS rule on overpayments gives 6-year lookback, specifies overcoding

by: Roy Edroso Feb 11, 2016

Four years after the proposed rule was issued, CMS has issued the final 60-day overpayment rule, formally called Reporting and Returning of Overpayments. It reduces the look-back period within which the agency can act on determinations that providers have received too much in Medicare funds but sets rigorous standards for determining what an overpayment is – including “over-coded” E/M claims.

CMS lifts low-broadband bar to skip meaningful use from 3Mbps to 4Mbps

by: Roy Edroso Feb 10, 2016

If you don't have enough households in your county at 4Mbps (megabits per second) Internet service, you can skip a couple of meaningful use measures.

2 examples to automate patient outreach, stop no-shows

by: Richard Scott Feb 9, 2016

Do you have a no-show problem? Even if you struggle with unexpected holes in your schedule only occasionally, you can take steps to improve your patient-contact rates and turn those no-shows into visits.

NGS updates covered diagnosis codes for trigger points

by: Julia Kyles, CPC Feb 8, 2016

National Government Services has made it a bit easier to report trigger points injections. A February update to its pain management LCD adds 17 codes to the list of diagnosis codes that support medical necessity.

Straighten out your ICD qualifiers

by: Julia Kyles, CPC Feb 4, 2016

Remember your ABKs (and Fs) when you submit electronic claims for services performed on or after Oct. 1.

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