Part B News | Editors' Blog

Doctor learns $300,000 lesson about billing drugs to Medicare

by: Laura Evans, CPC May 25, 2017

Normally the old adage, “waste not, want not,” would be a reliable rule of thumb to live by. But when you’re trying to stay compliant with Medicare billing rules for drugs and supplies, wasting leftover medications is often the better idea -- as federal prosecutors recently showed a corner-cutting neurologist.

How to lose $387,200 in a fax

by: Julia Kyles, CPC May 24, 2017

Two incidents at a health center operated by New York-based St. Luke's-Roosevelt Hospital Center show that sending a fax can turn an act that should have cost the organization a few cents into a settlement that cost hundreds of thousands of dollars.

Quick MIPS quiz - how should you handle this scenario?

by: Julia Kyles, CPC May 22, 2017

According to CMS officials, what should a MIPS-eligible clinician do if she has not received a MIPS clinician participation letter?

When reporting G0505, ensure patients fit the bill -- diagnostically

by: Richard Scott May 19, 2017

Look to your diagnosis coding to understand whether a patient fits the criteria for new cognitive-assessment code G0505 because the code does not confer blanket coverage for your elderly patients.

CMS again delays start of cardiac, ortho mandatory bundled payment models

by: Laura Evans, CPC May 19, 2017

Providers won’t have to worry about participating in a new set of mandatory Medicare episode payment models for cardiac and orthopedic procedures until next year.

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