Part B News
06/27/2016

Revisions and new items added to the HHS Office of Inspector General’s 2016 Work Plan as part of the mid-year update are more likely to hit hospitals and home health agencies than physician practices, but there are still a handful of key changes that affect physician groups.

06/27/2016

Add new billing caps to your claims-submission process because the latest quarterly update to the Correct Coding Initiative’s (CCI) collection of medically unlikely edits (MUEs) introduces new limits on 373 services and revises another 21 services.

06/27/2016

http://pbn.decisionhealth.com/Articles/Detail.aspx?id=522136Denial rates for common debridement and foot care codes have held fairly steady in recent years -- with a few exceptions.

06/27/2016

At my office, the providers appear to perform the same amount of work regardless of diagnosis. When is it appropriate to bill an E/M service in addition to debridement or callus removal codes?

06/20/2016
Fewer than six weeks after CMS announced a sweeping change in drug wastage billing rules and modifier JW, the agency postponed the change from July 1 to Jan. 1.
06/20/2016

Negative online reviews of your practice can be frustrating, but please, refrain from going into the forums like Yelp and Vitals and addressing them yourself. Instead, counter with a flood of good -- and genuine -- reviews.

06/20/2016
Get up to speed on the latest code bundles that impact casting, lung-cancer screening and vision screening services, among hundreds of others. The latest Correct Coding Initiative (CCI) edits contained in the version 22.2 update go into effect July 1.
06/20/2016
The Correct Coding Initiative version 22.2 quarterly edits bundle more than 1,100 codes. FInd the totals per series.
06/20/2016
by: Maureen West McCarthy, CPA
With increasing out-of-pocket patient financial responsibility and the increasing number of high deductible health plans (HDHPs), medical practices are experiencing cash flow shortages.
06/20/2016
Question: What’s the best way to put phone calls that count toward chronic care management (CCM) or transitional care management (TCM) into the electronic health record (EHR)?

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