Part B News | Editors' Blog

CMS makes hundreds of CCI edit fixes in mid-quarter update

by: Laura Evans, CPC Feb 21, 2022

CMS made an unscheduled mid-quarter update to the NCCI procedure-to-procedure (CCI PTP) claims edits, retroactive to Jan. 1. Here's what changed.

How are payers treating modifier FT? Make a prediction

by: Julia Kyles, CPC Jan 19, 2022

Private payers are issuing policies for modifier FT (Unrelated evaluation and management (E/M) visit during a postoperative period, or on the same day as a procedure or another E/M visit. [Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated]).

Can you guess how they're interpreting the modifier?

CMS clarifies modifier FT rules for critical care services

by: Julia Kyles, CPC Dec 15, 2021

First impressions can be deceiving. The descriptor for modifier FT is a prime example.

Provider breaks in Congress: Sequestration delayed, cut to 1%; PAYGO delay saves another 4%

by: Roy Edroso Dec 10, 2021

Good news for providers still reeling from the nearly 4% conversion factor cut in the recent Physician Fee Schedule\: a bill passed in the Senate on Dec. 9 is expected to avert 5% in further cuts.

Practices lost billions as E/M visits vanished in 2020

by: Richard Scott Nov 23, 2021

The official count is in. While the plight of physician practices during the COVID pandmic is well-known, new data from CMS provides a full accounting of the grisly financial landscape.

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