Part B News
5 ways to avoid legal pitfalls hidden in the merit-based incentive payment system
09/11/2017
by: Marla Durben Hirsch
The merit-based incentive payment system (MIPS) can give rise to legal headaches if not approached carefully. Here are five steps to navigate these waters.
Some specialists should watch out for coming apheresis policy change
09/11/2017
by: Richard Scott
Some specialty providers, including those in pathology, nephrology and orthopedic surgery, may have a difficult time seizing payments for apheresis services following a supervision change in one Medicare administrative contractor’s (MAC’s) jurisdiction.
Breaking news: CPT 2018 update delivers 4 new E/M codes, mass revisions and updates
09/11/2017
by: DecisionHealth Editorial Staff
This article was originally published in the Part B News editor's blog. It is not included in the downloadable .pdf for this issue.
MIPS: The next frontier in health information technology
09/01/2017
by: Doug Desjardins
Health information technology is a troublesome area for many physicians, but not to the degree it was several years ago when meeting meaningful use standards for electronic health records (EHR) was a struggle. But practices are bracing for a new set of challenges as they move into quality reporting programs under the Merit-based Incentive Payment System (MIPS) and other programs under the Medicare Access and CHIP Reauthorization Act (MACRA).
Survey: MIPS is top regulatory concern of physicians
09/01/2017
by: Doug Desjardins
Challenges related to Medicare’s Merit-based Incentive Payment System (MIPS) top the list of concerns for regulatory-related burdens to physician practices in 2017 and beyond, according to a new survey released in August by the Medical Group Management Association (MGMA).
Study shows few Medicare patients use online portals
09/01/2017
by: Doug Desjardins
A new study from the Government Accountability Office (GAO) has found that nearly nine in 10 physician practices in the U.S. offer access to medical data through online portals, but less than one-third of Medicare patients use those portals because they find them difficult to navigate.
Physicians do an about-face on pain medications
09/01/2017
by: Doug Desjardins
Treating patients with chronic pain is an ongoing problem for physicians in an era where millions of U.S. residents have opioid-addiction problems. And the issue is prompting physicians to offer patients alternatives to treating pain that don’t involve prescription medications.
Physicians need to tread carefully into mergers
09/01/2017
by: Doug Desjardins
Selling a practice or merging with another practice can be a good strategic move for a physician, but such moves can be fraught with unforeseen problems that include loss of autonomy and adapting to a new corporate culture.
Draw up a date-of-service primer for imaging, E/M services to get paid
08/28/2017
by: Richard Scott
Clarify the date-of-service rules you follow for reporting common radiology, pathology and E/M services and you’ll overcome a common pitfall linked to revenue-draining claims rejections.
If payers, or their vendors, are skimming your payments, tell them to stop
08/28/2017
by: Roy Edroso

CMS has been playing with new guidance on “virtual credit card” payments and onerous charges on electronic fund transfer (EFT) payments that might help you keep more of your money – but before their help arrives, you may prefer to help yourself.

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