Part B News
Payments for AWV code G0439 jump 152% over five-year period
10/22/2018
by: Richard Scott

Experts say it’s still a tricky and underutilized service, but the numbers behind the annual wellness visit (AWV) wouldn’t make you think so

No end in sight for increasing regulatory burden as practices adapt to new normal
10/15/2018
by: Richard Scott

If you think the amount of red tape you have to cut through is getting worse, you’re not alone. Nearly nine out of 10 medical practices report that regulatory burden has increased over the past year, and experts say that the era of high-hassle may very well be the new normal.

Prepare clinical trial information to help stressed patients cope
10/15/2018
by: Roy Edroso

Some simple preparation in anticipation of patient requests for clinical trial information can make them feel cared for and less frightened, and more likely to take an active role in their own treatment.

Do patient, employee outreach like top performers and see positive results: MGMA
10/15/2018
by: Roy Edroso

Outreach to patients and staff like satisfaction surveys and advisory committees are not just touchy-feely, nice- to-have extras for medical practices but can actually help make a difference in care and financial performance, according to a new MGMA report.

MAC opens up same-day E/M billing for NPPs of different specialties
10/15/2018
by: Richard Scott
Some practices will find no resistance when billing for a patient who visits two or more non-physician practitioners (NPPs) on the same date of service (DOS) in a policy change that should ease denials and lessen the impact of appeals.
Reporting requirements, scoring are most disliked parts of MIPS, survey says
10/15/2018
by: Richard Scott
As year two of the Quality Payment Program (QPP) winds down, practices report ongoing challenges with CMS’ full-bore pivot to value-based care and dissatisfaction with specific elements of the program, according to a survey from the Medical Group Management Association (MGMA) in Englewood, Colo.
Top specialties for each outpatient E/M code, 2017 (with denial rates)
10/08/2018
by: Roy Edroso
The full set from this week's benchmark. 
E/M update: 99214 now the most-reported outpatient code; total denials shrink
10/08/2018
by: Richard Scott
Take a close look at the trend lines behind outpatient E/M encounter codes 99211-99215 and you’ll discover a clear pattern over the past half decade or longer — higher-level codes are spiraling upward, while lower-level codes are witnessing significant declines.
Check frequent RARC/CARC combos to cut down on denials, save time
10/08/2018
by: Roy Edroso
Denial codes that come back on a transmittal with your rejected or denied claim are your first opportunity to find out why it didn’t go through — and if you know how to read the combinations of claim adjustment reason codes (CARCs) and remittance advice remark codes (RARCs) they include, you can often grasp and address the issue quickly and save time on the troublesome denials management process.
Add new flu vaccine code to your master list for the 2018-2019 season
10/08/2018
by: Richard Scott
You can thank Medicare for providing a sneak peek of a new CPT code that’s taking effect Jan. 1 and plan ahead to integrate it into your roster of flu season billing codes.
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