Part B News | Editors' Blog

Shared Savings 'Pathways' final rule locks ACOs into two-sided risk after 2 years

by: Roy Edroso Dec 21, 2018

To light a fire under Shared Savings accoutable care organizations (ACOs) that have been slow to take on double-sided risk, CMS finalized a rule today forcing them to take that risk on after two years rather than the current six.

CMS unveils new stroke telehealth modifier for use starting Jan. 1

by: Laura Evans, CPC Dec 20, 2018

If you plan to provide telehealth services to diagnose, evaluate or treat symptoms of an acute stroke next year, take note of a new modifier Medicare has introduced that should be appended to these services.

Federal judge finds Obamacare unconstitutional; law remains in effect pending further decisions

by: Roy Edroso Dec 17, 2018

A federal judge has ruled that the entirety of the Affordable Care Act aka Obamacare is unconstitutional, though he did not order a remedy and an appeal is already being assembled.

Part-B new-year round-up: Policies to put on your calendar

by: Richard Scott Dec 14, 2018

'Tis the season to stretch our gaze ahead to the new year -- and the new or revised Part B policies just days away from making a real impact on your bottom line.

Losing a bundle: $12.5 settlement for misuse of modifier 59

by: Roy Edroso Dec 13, 2018

Following allegations of improper use of modifier 59 to unbundle orthopedic procedures, a Pennsylvania health system and its orthopedic surgeon-CEO have agreed to pay federal authorities $12.5 million dollars.

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