Part B News
05/09/2016

Some clinicians may think that because they are participants in a bundled services model they will be automatically exempted from merit-based incentive payment system (MIPS) requirements. However, for most clinicians, that will not be the case, CMS states in the proposed MIPS rule released April 27.

05/09/2016

Check out this round-up of important pieces of the merit-based incentive payment system (MIPS) proposed rule released April 27.

05/09/2016

Involved in a bundled payment program? See if it qualifies as an APM.

05/09/2016

The new proposed rule on merit-based incentive payment system (MIPS) reporting suggests that the old physician quality reporting system (PQRS) loophole of reporting “action not performed” with modifier 8P will no longer fly — even though data shows many providers have gotten used to it.

05/02/2016
Question: A patient is seen in a hospital emergency room for an orthopedic issue (E/M code 99284). In the ER, an orthopedic surgeon is called in to evaluate and he decides to operate – yet the patient hasn't been admitted as an inpatient. How should this be billed?
05/02/2016

Treating patient lists as a “trade secret” that doctors can’t take with them when they leave may lead to legal challenges and expensive settlements; instead try crafting contract language that gives departing providers, your practice and your patients what they need.

05/02/2016

Many providers have trouble initiating and engaging in advance care planning (ACP) discussions with their patients — and sometimes vice versa. But simple techniques and guidelines can help both parties buy in for improved care and increased practice revenue.

05/02/2016
Focus on your high-volume activities that you have a penchant for performing well to choose the best cross-cutting measure for your physician quality reporting system (PQRS) submissions in 2016.
05/02/2016
A majority of eligible providers (EPs) — 62.2% — successfully participated in the physician quality reporting system (PQRS) in 2014, avoiding a 2% pay cut for 2016 Medicare fee schedule rates. Yet that leaves hundreds of thousands of providers who are being hit with a 2% cut this year.
05/01/2016

The proliferation of high-deductible health plans is having a ripple effect throughout the industry and forcing many medical practices to change the way they do business. And some of those changes are affecting the way physicians discuss treatment options with their patients.

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