Part B News
08/03/2015

With the deductible season occurring at the beginning of the year and the fact that many of the practice’s patients had high-deductible health plans (HDHP), the patient A/R had soared to three times the level it had been at the time the staff changes had been made. We took steps to address those issues — and the billing team brought its total A/R balance down from 36 days of charges to 28 days

08/03/2015

The lowest level observation codes — whether they be for initial care (99218), subsequent care (99224) or same-day discharge (99234) — see the highest denial rates among all observation services, and you’ll want to pay attention to your documentation to ensure you’re meeting the codes’ billing requirements.

 
07/27/2015

An alternative-medicine provider can offer your patients extra care and a new reason to come to your practice — if you make sure to do it legally and get the cooperation of your current providers.

07/27/2015
You’ll find financial risk and reward in a major hospital initiative that CMS proposed July 9 involving the post-operative care of patients who’ve undergone hip- and knee-replacement surgeries.
07/27/2015

Payment for most services done in ambulatory surgery centers (ASCs) would increase by 1.1% in 2016, under CMS’ proposed ASC payment changes detailed in the 2016 hospital outpatient prospective payment system proposed rule, released in early July.

07/27/2015

It’s more important than ever to scrutinize how you or any third party stores and disposes of your practice’s medical records. Inappropriate record dumping by providers and their business associates is a sore spot for the government — and they’re taking action.

07/27/2015

A patient was admitted to the hospital and died the same day. The hospitalist billed 99236; the cardiologist billed 99222. The cardiologist got paid, but hospitalist didn't. Why?

07/27/2015

See the impacts of reimbursement changes in the proposed 2016 Medicare physician fee schedule by selected specialties.

07/27/2015

The following are the proposed areas included in the Comprehensive Care for Joint Replacement model for hospitals:

07/20/2015
Practices that rely on non-physician practitioners (NPPs) and auxiliary medical staff to stretch their revenue may have to adapt to new processes if CMS goes through with proposed incident-to changes. The agency intends to tie billing to the supervising provider for incident-to services.

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