Part B News
Limit modifier KX reporting to successfully file immunosuppressive drug claims
12/18/2017
by: Richard Scott

Firm up your claims reporting for patients on immunosuppression drug therapy to avoid payment denials and the possibility of inflicting financial duress on patients who recently have undergone organ transplants.

Be precise on vaccine claims, set up self-pay to ensure correct reporting
12/18/2017
by: Richard Scott

Set up a plan to easily document and report your vaccine coding, including a collections plan for vaccines not covered by Part B, and you’ll avoid claims disruptions that can cause extra work among your staff.

For new patients, OK to report multiple new-patient codes for same encounter
12/18/2017
by: Richard Scott
Question: My office is having a debate. Let’s say a new patient has an office visit and physical at the same appointment. Is this coded with one new and one established code or two new codes?
Providers bill — and earn — millions on oft-reported immunosuppressive drugs
12/18/2017
by: Richard Scott

Providers billing immunosuppressive drug claims saw some — but not much — resistance to the several hundred millions of claims they submitted in 2015 and 2016, according to an analysis of Medicare claims data from the two most recently available periods.

From the Part B News blog
12/18/2017

Take note of the news that happens between Part B News issues by checking out the free Part B News blog. Here’s a sampling from this week.

Update unit-of-service, modifier 59 reporting, says 2018 CCI manual
12/11/2017
by: Richard Scott
Incorporate new guidance contained in the 2018 Correct Coding Initiative (CCI) policy manual to accurately report on a range of coding topics — including modifier 59 (Distinct procedural service), immunizations and debridement services — and stay in compliance with CMS’ policies next year.
At first hearing, HHS pick Azar knocks ACA, vows to fight Medicare waste
12/11/2017
by: Roy Edroso
In his first confirmation hearing before the Senate Committee on Health, Education Labor & Pensions (HELP) on his nomination to be secretary of Health and Human Services, Alex Azar was often vague and even evasive as to policy specifics, but he did indicate he would cleave to the Republican line on the Affordable Care Act, women’s health and other health policy issues.
Meaningful Measures program may change reporting measures in 2019
12/11/2017
by: Roy Edroso
In a Nov. 28 provider call, CMS said its Meaningful Measures program would lead to no new, revised or deleted reporting measures for 2018 — but it will affect the way measures are created after that.
7 ways to avoid Stark for lab work, imaging and other ancillary services
12/11/2017
by: Marla Durben Hirsch
Be prepared for more scrutiny if your practice performs ancillary services such as metabolic panels, X-rays or physical therapy. A variety of ancillary services are defined as designated health services (DHS) under the Stark physician self-referral law and can trigger costly penalties.
GOP tax overhaul plan takes big step forward by getting Senate approval
12/11/2017
by: Joshua Poltilove
Before sending a final bill for President Donald Trump to sign, the U.S. House and Senate must work to reconcile versions of tax overhaul bills they recently passed.
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