Part B News | Editors' Blog

Amazing tales from the Advanced Specialty Coding, Compliance & Reimbursement Symposium

by: Julia Kyles, CPC Oct 15, 2018

An anesthesia group noticed that it had stopped receiving payments from a major private payer. The practice couldn’t figure out what happened.

End to risk for Shared Savings ACOs? Two experts weigh in

by: Roy Edroso Aug 23, 2018

Two top health care analysts with KPMG talk about the new rule that proposes to push all Medicare Shared Savings Program (MSSP) participants to two-sided risk.

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.

CMS proposes sweeping changes to E/M payments, documentation requirements

by: DecisionHealth editorial staff Jul 12, 2018

You could find a single payment amount for your level 2 to 5 office codes and significantly reduced documentation requirements as soon as Jan. 1 should changes put forth in the 2019 proposed Medicare physician fee schedule come to realization.

Neoplasms, eyes, external causes dominate proposed new ICD-10-CM codes

by: DecisionHealth staff Apr 24, 2018

Providers could have 435 code changes to deal with starting Oct. 1 with 247 new codes, 139 revised codes and 49 codes rendered invalid, according to the hospital inpatient prospective payment system (IPPS) proposed rule released April 24.

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