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06/05/2017

We upgraded the Part B News listserv to the new Medical Practice Revenue Cycle Forum!

More states expanding roles of NPs and PAs
05/29/2017

Lawmakers in a half-dozen states are considering bills that would expand the scope of practice for nurse practitioners (NP) and physician assistants (PA) and allow them to practice without physician supervision.

Study says NP care equal to that of physicians
05/29/2017

A new study suggests that care provided by nurse practitioners (NP) and physician assistants (PA) for low-acuity ailments is comparable to the care provided by physicians for the same health issues.

Beef up initial inpatient visit documentation to survive prepayment review
05/22/2017
by: Laura Evans, CPC
Pay attention to whether your physicians are adequately documenting level 3 initial hospital visits (99223) because auditors have those claims in their crosshairs.
In wake of WannaCry ransomware attack, check coverage and do the basics
05/22/2017
by: Roy Edroso

A wave of ransomware attacks has hit medical providers in Europe and Asia and may hit more in the United States, where one hospital is reported to have been hit as of press time. Protection is pretty straightforward, but it requires that you do the basics, not only in IT security but also in insuring your technological resources.

As eligibility widens, add more patients to your hepatitis B screening ranks
05/22/2017
by: Richard Scott
Use a new code — G0499 (Hepatitis B screening in non-pregnant, high-risk individual) — for hepatitis B screening when you perform the service on newly eligible patients.
New NPPES version takes more information, easier on enrollment surrogates
05/22/2017
by: Roy Edroso
If you complete enrollment on behalf of your providers as part of CMS' surrogate program, you’ll have an easier time with the National Plan and Provider Enumeration System (NPPES) step in the process thanks to recent changes.
Add an E/M to this shoulder pain shot if it’s a new problem
05/22/2017
by: Roy Edroso
Question: We had a patient present with shoulder pain and joint stiffness that had not been evaluated on a previous visit. Our physician examined his shoulder, discussed and documented various treatment options, and they mutually agreed on a shoulder injection. Can the physician bill for an E/M and the procedure with modifier 25 (Significant, separately identifiable E/M service) or just for the procedure alone?
Hepatitis B screening, on the rise, projected to continue upward growth
05/22/2017
by: Richard Scott
Rising claims for the screening of hepatitis B virus (HBV) may have received an additional jolt after CMS expanded eligibility criteria to include more patients.
Retail clinics expanding their footprint
05/22/2017

The number of retail health clinics in the U.S. continues to increase at a rapid clip along with the scope of services they provide, according to a new study from RAND Corporation. 

The study, titled “The Evolving Role of Retail Clinics,” found that nearly three-quarters of retail clinics are located in the South and Midwest. It also found that 35% of the U.S. urban population lives within a 10-minute drive of a retail clinic and that clinics have a higher concentration in higher-income urban and suburban areas.

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