Part B News
How to handle immigration enforcement changes that may affect your staff
02/26/2018
by: Roy Edroso
Question: I heard about a doctor who was in the U.S. on a green card and was detained by immigration authorities. Do I have to worry about my staff who are here on green cards or work visas getting taken away? Can I just decline to hire such people to avoid the problem?
Telehealth codes little used, but signs point to changes
02/26/2018
by: Roy Edroso
The difficulties attached to getting Medicare to pay for telehealth services — the originating-site and sometimes geographical restrictions — are evident in the low utilization for the codes specifically dedicated to telehealth. But some of the denial rates are low and, if hints from CMS mean what they seem, the codes may see more use in years to come.
Avoid reporting cast-removal code when same provider does the work
02/19/2018
by: Richard Scott
Question: My doctor wants to bill 29125 (Application of short arm splint [forearm to hand]; static) with 29700 (Removal or bivalving; gauntlet, boot or body cast), and from what I understand these codes should not be paired together when the original cast was put on by the same physician. Is that correct policy? If they are not to be billed together, is there anything in writing I can show my providers?
Budget bill ends GPCI, therapy cap issues, will extend MIPS ‘transition’
02/19/2018
by: Roy Edroso

Buried in the 250 pages of the budget bill that President Donald Trump signed into law Feb. 9 was a flotilla of changes to health care law, including a few major changes to the merit-based incentive payment system (MIPS).

Lost a provider’s prescription pad? Respond by the book and prove it
02/19/2018
by: Roy Edroso

If you suspect theft of a prescription pad at your office, report it quickly and thoroughly to minimize harm and protect yourself.

Value modifier cuts hit 59% of practices; some results translate to MIPS
02/19/2018
by: Richard Scott

Don’t be surprised if your Medicare rates are a tick or two below expected levels during 2018. Nearly 60% of physician practices are taking up to a 2% hit to payments because of negative adjustments from the value modifier program.

Scripps settles unqualified personnel suit for $1.5 million.
02/19/2018
by: Marla Durben Hirsch

San Diego-based Scripps Health agreed to pay a $1.5 million settlement, the Department of Justice (DOJ) announced Jan. 19.

Just 2% of clinicians will earn lucrative value modifier bonus in 2018
02/19/2018
by: Richard Scott

Most practices will take a cut of 1% to Medicare payments in 2018 or see a neutral adjustment as a result of their performance during the final reporting year of the value modifier program, which CMS phased out at the end of 2016.

Upcoming webinars
02/19/2018

Here are some upcoming and on-demand webinars from DecisionHealth.

10 tips to steer your choice about the BPCI Advanced payment model
02/12/2018
by: Richard Scott
You’ll find a clearer picture of the Bundled Payments for Care Improvement (BPCI) Advanced model after CMS unveiled critical pieces of information about the program during a Jan. 30 open door forum. While one key piece — the program’s target pricing — remains pending, you can assess your fit ahead of the program’s March 12 application deadline.
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