Part B News | Editors' Blog

Claims-based quality reporting could be pared down in 2019

by: Julia Kyles, CPC Jul 19, 2018

It’s no secret that claims-based quality measure reporting is very popular with practices, but not with CMS. The 2019 Medicare proposed physician fee schedule contains the agency's latest attempt to shift more practices to other methods that are less burdensome and expensive for the agency to administer.

Fee schedule reaction shot: 'This is insanity'

by: Richard Scott Jul 18, 2018

In the days after CMS dropped a bombshell of a proposed fee schedule, experts and industry groups continue to make sense of the expected aftermath. No proposals are final, of course, but the ideas floated -- around E/M payments and documentation, in particular -- could prove significantly disruptive to physician practices around the country.

Another winner in the 2018 budget bill: Radiation therapists

by: Roy Edroso Mar 8, 2018

A little-noted feature of the recent U.S. budget law gives a break to radiation therapy providers.

CMS confirms: retroactive GPCI, therapy cap payment adjustments coming

by: Roy Edroso Mar 1, 2018

As Part B News reported, last month's the Bipartisan Budget Act fixed some problems with GPCIs in 52 localities and claims that exceeded the therapy cap nationwide that reduced payments for thousands of providers. Yesterday CMS officially acknowleged those changes.

2018 prediction: Adoption of new prolonged, behavioral codes will be slow

by: Richard Scott Dec 22, 2017

Part B News editors surveyed readers and interviewed experts to come up with numerous predictions of what will affect physician practices in 2018. Here's a sneak peek at one of the predictions related to new codes coming down the pike in 2018 -- and what you may expect -- with the remainder of the predictions coming in the Jan. 1, 2018, issue.

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