Part B News
11/14/2016

Make sure staff — and your billing software — pick up on three new twists to moderate sedation billing when the surgeon who performs certain gastrointestinal procedures also provides the moderate sedation for patients over the age of 4.

11/14/2016

You’ll find a ticket to getting paid in 2017 when you wrap behavioral health services into your practice, according to the final 2017 Medicare physician fee schedule released Nov. 2.

11/14/2016

Below are impacts of reimbursement changes in the final 2017 Medicare physician fee schedule by selected specialties.

11/14/2016

Use this list of payment changes, policy changes and quality reporting notes from the final 2017 Medicare physician fee schedule, released Nov. 2, to prepare your practice for 2017.

11/14/2016

Providers who offer a new Medicare Diabetes Prevention Program (MDPP) can be paid for sessions all year, even if participating beneficiaries don’t meet weight-loss targets CMS had proposed.

11/14/2016

CMS will require providers and suppliers to be screened and enrolled in Medicare before they can contract with Medicare Advantage (MA) organizations to provide items and services to those beneficiaries.

11/14/2016
The majority of surgeons who bill Medicare can breathe a sigh of relief: You won’t be required to report mandatory, unpaid G-codes for your post-operative services provided during 10- and 90-day global periods this year.
11/14/2016
Physicians who bill under the Medicare physician fee schedule for their work at provider-based hospital departments will see no change under new provisions in the outpatient prospective payment system (OPPS) final rule.
11/07/2016
You’ll find new opportunities to code for services related to care management and behavioral health in 2017, according to the final 2017 Medicare physician fee schedule released Nov. 2. CMS finalized a suite of HCPCS codes for physician-led behavioral health services, two complex chronic care management (CCM) codes, initiating visit codes and more.
11/07/2016

Since the Quality Payment Program (QPP) final rule with comment came out Oct. 14, everyone’s been talking about the forgiving MIPS minimums, which allow providers to avoid negative payment adjustments with some simple reporting (PBN 10/24/16). But suppose your practice has been reporting quality measures and wants to rack up many more points to grab the maximum 4% positive adjustment CMS has advertised – what do you do?

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