Part B News
02/13/2017

An injunction against enforcement of certain anti-discrimination regulations seems to leave insurers and employers free to refuse certain procedures to transgender patients — but it does not necessarily protect them from legal action if they do.

02/13/2017
You may find yourself in a tricky situation when reporting mammography tests this year, as new CPT codes debuted but at least one major payer – CMS – is not equipped to process claims for them. But you can avoid mammography-coding mayhem this year with a close look at your payers’ policies.
02/13/2017

Firm up your ICD-10 coding when your patient encounters are related to essential hypertension, immunization encounters, general adult and pediatric visits and other diagnoses tied to mass denials.

02/07/2017

Nearly a dozen states in the U.S. have approved laws that treat e-cigarettes the same way as combustible cigarettes, but no state has gone as far as California, where state legislators raised the minimum smoking age to 21 and voters approved a heavy tax on the sale of regular cigarettes and e-cigarettes.

02/07/2017

While most analysts agree that any substantial changes to the Affordable Care Act (ACA) are unlikely this year, even minor changes to the ACA could result in millions of newly insured people losing insurance and millions fewer new-patient office visits in 2018 and beyond. And those changes could come at a time when physicians are struggling with escalating costs and flat reimbursements from Medicare and Medicaid.

02/06/2017
An executive order that President Donald Trump signed Jan. 30, which instructs departments and agencies to remove two regulations for every one issued, may have a significant impact on the medical practice industry. “For every new regulation issued, at least two prior regulations [must] be identified for elimination,” states the executive order.
02/06/2017

For years, physicians have had little clear guidance for patients with questions about e-cigarettes and whether they’re a safer alternative to traditional smoking. But that changed in December 2016 when the Surgeon General issued a report that said e-cigarettes represent a public health hazard to teens and young adults and should not be used by adults as part of smoking cessation programs.

02/06/2017

While nearly all Part B providers have to engage the Quality Payment Program (QPP) in some way to avoid pay cuts, voluntary incentive programs can increase your providers’ payments – without financial risk.

02/06/2017
Don’t get swept up in fraudulent activity that may be occurring in your office — whether it’s intentional or not — or you may wind up punching the jailhouse clock with some other medical practice personnel caught in the feds’ snares in 2016.
02/06/2017
Question: In the 2017 Medicare physician fee schedule, CMS specifically mentions that the newly billable G0505 (Cognition and functional assessment by the physician or other qualified health care professional in office or other outpatient) could be billed with chronic care management, transitional care management and other services. Under what circumstances would you legitimately bill CCM (99490) with G0505?

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