Part B News
03/12/2012

If a neurosurgeon explores spinal fusion during surgery, can the exploration be coded on the same level as the primary surgery being performed? What if the surgeon explores different levels? Can those be coded as long as the documentation states what was explored and the correct modifier is appended?

03/12/2012

TrailBlazer Health Enterprises lost its CMS contract to Highmark Medicare Services on March 1. CMS denied Trailblazer’s petition March 1 and is moving forward with the merging of Jurisdiction 4 into Jurisdiction JH, which will be all Highmark’s territory, according to the U.S. Government Accounting Office (GAO) report on TrailBlazer’s petition of the change.

03/08/2012

This month's tool is a ready-to-use encounter form for your annual wellness visits tailored specifically for patients receiving their subsequent visit of this preventive service CMS initiated in 2011.

03/05/2012

Be prepared to meet even stricter electronic health records (EHR) reporting requirements, but also to benefit from improved interoperability and vendor responses to specialty-specific provisions, now that CMS released its proposed rule for stage 2 meaningful use.

03/05/2012

You won’t be able to report a key hypertension measure for the Physician Quality Reporting System (PQRS) program until April 1 and will lose all potential reporting opportunities between Jan. 1 through March 31. That could jeopardize your bonus.

03/05/2012

Don’t assume the burden of educating patients about their payment responsibilities on your own. Instead, seek a local business partner to help you teach patients about their health plans – particularly the high-deductible health plans (HDHPs) – and you’ll improve collections and patient relations.

03/05/2012

You’re not alone if Medicare has been denying your claims or recouping funds for place-of-service (POS) errors for your provider’s hospital services. Protect your revenue and prevent those denials by closely coordinating your practice’s billing department with the hospital’s, experts tell Part B News.

03/05/2012

Physician practices and hospitals are rarely in sync, especially when it comes to place of service (POS) billing. And because of that, your practice stands to lose thousands of dollars because of coding errors for services your physician performed in a hospital.

It’s up to your practice to make the hospital-practice relationship more transparent.

03/05/2012

CMS will allow suppliers to submit certain paperwork as part of a power mobility device prior authorization demonstration, relieving physicians of the burden of sending that information.

03/05/2012

This chart reflects how your peers wish to incorporate electronic health records (EHR) by breaking down the exact types of information they want to share with other medical offices electronically but currently share via paper, phone or fax.

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