Part B News | Editors' Blog

Doctor groups push Congress to change CMS' biosimilar pricing scheme

by: Roy Edroso Dec 10, 2015

Six medical provider organizations have sent an appeal to Congress, asking that they overturn a CMS rule that puts biosimilar drugs of the same kind under one payment code, saying it will discourage innovation and harm patient safety.

CMS adjusts billing rules for transitional care services

by: Richard Scott Nov 12, 2015

Come 2016, be prepared to adjust your billing protocol for transitional care management (TCM) services, reflected in codes 99495 and 99496.

Once again, CMS doesn't connect with telehealth

by: Roy Edroso Nov 5, 2015

The latest Physician Fee Schedule Final Rule doesn't do much for telehealth -- five new codes allowed, several more proposed services rejected, and no change in the onerous "originating site" rule that keeps telehealth from taking off as a Medicare service.

But the nation's leading telehealth advocacy group isn't complaining.

2016 Medicare physician fee schedule released

by: Part B News staff Oct 30, 2015

Practices have a new revenue opportunity in 2016 for providing advance care planning (ACP) services, as finalized in the final 2016 Medicare physician fee schedule released Oct. 30.

What Super Committee deadline means for your cash flow

by: Grant Huang Nov 15, 2011

In one week, a bipartisan group of lawmakers dubbed the “Super Committee” must release a plan that cuts federal spending by $1.2 trillion over the next decade. If they don’t come up with something, or if Congress fails to approve the plan they release, you can expect automatic across-the-board federal cuts, including a 2% cut to your Medicare physician pay starting in 2013. This amount would be on top of the 27.4% pay cut set to hit Jan. 1, 2012.

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