Part B News
Prepare for new rules, scope of your MAC’s medical review process
10/16/2017
by: Richard Scott

Watch out for a letter from your Medicare administrative contractor (MAC) alerting you that one of your providers is the target of CMS’ revamped medical-review process. Taking corrective action can forestall penalties, headaches and potential revenue losses.

Check your practice for overutilization before MIPS starts charging you for it
10/16/2017
by: Roy Edroso

Recent studies suggest unnecessary care, such as tests and medication regimens shown by experts to be of limited efficacy, may be inflating the cost of care for your patients, which — if those patterns continue into 2019 — could lead to penalties under MIPS.

Watch for replacements for 94620 and 97532 or risk denied claims
10/16/2017
by: Roy Edroso

Of the 82 CPT codes that are to be cleared out as part of the latest CPT changes, two popular codes slated for deletion may especially have an effect on your revenue if you’re not paying attention.

Mark your calendar to overcome lost charges for liability-billing claims
10/09/2017
by: Richard Scott
Set your clock, take stock of the reporting windows and consider how much risk you’re willing to take when you treat a patient whose liability insurance may cover the treatment costs – otherwise, you may wind up with nothing to show for your work.
Target password safety, tighten access to avoid HIPAA fines
10/09/2017
by: Roy Edroso

A new survey notes that the common practice workaround of health care workers using each other’s passwords has enough potential for danger and costly fines that you should take steps to stop it.

8 tips to protect your practice, patients from opioid Rx abuse
10/09/2017
by: Marla Durben Hirsch

The fight against the opioid epidemic and ensuing crackdown on contributors means that physicians who prescribe opioids will be under increased scrutiny. Use these tips to help your practice:

Look at vendor innovations to make CCM easier — and compare with personnel costs
10/09/2017
by: Roy Edroso

If you’re planning to get started with chronic care management (CCM) or have started but are unhappy with the efficiency of your process, look into available technical solutions combined with personnel improvements to ease the burden.

Tread carefully as legal risks ratchet up for doctors prescribing opioids
10/09/2017
by: Marla Durben Hirsch

Assess your practice’s approach to prescribing opioids. The war against the opioid epidemic is heating up — and physicians are in the compliance hot seat.

Prepare for new codes as imaging of chest, abdomen gets updated
10/09/2017
by: Richard Scott

Get ready to pivot to a new suite of imaging codes in 2018 to avoid revenue disruptions that may occur as a slate of current X-ray codes go on the chopping block.

Reaction shot: Quality Payment Program comments offer clarity for 2018 reporters
10/02/2017
by: Richard Scott
The most recent attempt at Medicare payment reform was, in retrospect, an unmitigated success — legislatively, at least. As far as the Medicare Access and CHIP Reauthorization Act’s (MACRA) impact on physician practices? That’s a more complicated matter.
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