Part B News
Spend time on moderate sedation; stop self-inflicted pay cuts next year
10/10/2016
by: Julia Kyles

Take note if your providers perform moderate sedation as a stand-alone service or in conjunction with procedures that include moderate sedation: Staff must understand the sweeping revamp of moderate sedation policy in the CPT 2017 manual or your revenue from private payers and Medicare will come up short.

Get ready to renegotiate contracts with the basics: Correct out-of-date agreements
10/10/2016
by: Roy Edroso

The road to better rates has to start somewhere: Before you can ask for better terms on your payer contracts, you have to make sure you’ve got the latest versions and that you understand their rates and relative values.

Get organized, negotiate to solve Medicare Advantage pre-authorization problems
10/10/2016
by: Richard Scott
Standardize your workflow to overcome prior-authorization hurdles faced when dealing with the diverse Medicare Advantage (MA) plans on your patient roster. Doing so can save you time and headaches.
New primary care-based psych codes offer opportunity, challenges in 2017
10/10/2016
by: Richard Scott
You could find a new path to payment when you deliver psychiatric services in 2017 given Medicare’s proposed coverage of several primary care-based codes, but you may encounter a hard lift in adopting the Collaborative Care Model (CoCM) upon which the codes are based.
Denial rates nudge lower on oft-reported E/M claims, rise on low levels
10/10/2016
by: Richard Scott
Providers performed admirably when billing the most commonly claimed office visits (99213, 99214), yielding a denial rate under 5%, but many practices struggle with low-level E/M codes, according to a look at three years of Medicare E/M claims data.
MIPS has a slowdown option — but take it and it will cost you in the long run
10/03/2016
by: Roy Edroso

CMS is offering you a go-at-your-own-pace alternative to full merit-based incentive payment system (MIPS) participation in 2017 — but experts warn that if you take the slowest route, you’ll wind up worse off.

Cut it out: EHR’s copy/paste functions can lead to false claims, investigations
10/03/2016
by: Marla Durben Hirsch

Think twice before relying on your electronic health record’s (EHR’s) handy copy, cut and paste tools. They can put you in legal hot water.

Harness 5 key takeaways from the 2016 Advanced Specialty Symposium
10/03/2016
by: Richard Scott

You were sure to hear a flurry of insights at the 2016 Advanced Specialty Coding, Compliance and Reimbursement Symposium, such as areas auditors will target, opportunities to get paid for billable services and a reminder to stay focused on ICD-10 as it rolls into year number two.

Rising role of nurse practitioners can boost care, finances at your practice
10/03/2016
by: Roy Edroso

Changes in perception and state laws may open new opportunities for your practices to use nurse practitioners (NPs) for more than incident-to services, such as providing autonomous primary care or increasing the efficiency of your operations.

10 updates to prepare for the ICD-10 overhaul that goes live Oct. 1
10/03/2016
by: Richard Scott
Stay sharp with your diagnosis coding as the first year of ICD-10 comes to a close and the second-year update adds more than 1,900 new diagnosis codes and revises several hundred others.
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