Part B News
Concierge medicine gets more popular – and maybe more possible for you
03/06/2017
by: Roy Edroso

You may not have to give up all insurance for your practice to do concierge medicine, which a recent study shows is becoming more attractive to providers.

Watch billing gaps when you adopt new flu vaccine code 90682
03/06/2017
As the flu season drags on, get ready to add a new line item to your seasonal reporting checklist – but watch out for the slow roll-out of the new vaccine code to avoid any billing hiccups.
When patient comes from ER, watch HPI elements, medication management
03/06/2017
by: Roy Edroso
We saw a patient who was recently in the emergency department (ED). The report states chest pain as the reason for visit/chief complaint. Can we use this as the chief complaint and location as an HPI element if the ED doctor does not restate it?
Low scores can sometimes earn bonuses in MIPS decile scoring scheme
03/06/2017
by: Roy Edroso and Richard Scott
The historical benchmarks that will be used to determine quality measure scores sometimes can be deceiving. These tables, which use only the claims-based reporting benchmarks for process measures, give some idea of how you can find a “sweet spot” for your own reporting.
Engaging patients online raises new issues
03/03/2017

Physicians say communicating with patients online is still a challenge but that patients are becoming more comfortable with making appointments, refilling prescriptions, and asking follow-up questions through patient portals after appointments. Yet physicians are also discovering that having patients review their medical records—and try to decipher the clinical terms and codes within—can open up a whole new line of questioning.

Exert caution when reporting shared visits for prolonged care services
02/27/2017
by: Richard Scott
Be careful when more than one provider sees a patient for prolonged care because reporting a split/shared visit for codes 99354-99357 comes with a number of precise requirements – such as meeting incident-to rules in the office.
New ‘market stabilization’ rule unlikely to keep ACA patients covered. 
02/27/2017
by: Roy Edroso

The first proposed rule from the Trump CMS was one of the highlights of the week in legal and regulatory health care changes.

4 tips to boost advance care planning revenue at your practice
02/27/2017
by: Roy Edroso

Take advantage of new resources to help your providers earn revenue for advance care planning (ACP) — the end-of-life counseling service for which Medicare started paying last year.

Watch 3 remittance advice codes for QMB billing problems
02/27/2017
by: Richard Scott

Anticipate seeing one of several new remittance advice remark codes (RARCs) if you mistakenly bill qualified Medicare beneficiaries (QMBs) for more than they owe.

Exert caution when reporting shared visits for prolonged care services
02/27/2017
by: Richard Scott

Be careful when more than one provider sees a patient for prolonged care because reporting a split/shared visit for codes 99354-99357 comes with a number of precise requirements — such as meeting incident-to rules in the office.

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