Part B News | Editors' Blog

New York physicians required to submit prescriptions electronically

by: Richard Scott Mar 24, 2016

Come March 27, physician providers in New York will be forced to cast any writing instruments aside -- at least when it comes to writing prescriptions.

Obamacare turns 6

by: Julia Kyles, CPC Mar 23, 2016

Six years ago today, President Obama signed the Patient Protection and Affordable Care Act (PPACA) into law here's what Part B News wrote on March 23, 2010.

Did you settle your practice's appeal?

by: Josh Poltilove Mar 16, 2016

Did your practice participate in the Office of Medicare Hearings and Appeals’ settlement pilot project? If so, we’d love to hear the story of how your practice fared — regardless of whether it agreed to a settlement and got out of the massive backlog of appeals at the administrative law judge level.

Please contact editor Josh Poltilove at jpoltilove@decisionhealth.com or (301) 287-2593.

New CMS overpayments lookback period: Is it six years – or 10?

by: Roy Edroso Feb 26, 2016

One of the few silver linings for providers in the final overpayments rule is that the “look-back” period within which CMS will go after provider overpayments was reduced to just six years. But that won’t necessarily stop federal prosecutors from going after them for longer.

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.

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