Part B News
Accepting pictures from patients? Be secure; have policy, patient agreement
04/27/2015
by: Roy Edroso

If you’re receiving photos from patients as medical evidence, protect yourself with tight requirements for their acceptance.

See what your peers are doing with meaningful use, PQRS as MIPS approaches
04/27/2015
by: Richard Scott

The majority of providers polled in a recent survey plan to continue meeting meaningful use and Physician Quality Reporting System (PQRS) requirements as a major shake-up to Medicare’s programs approaches in 2019.

With SGR repealed, payment predictability, value-based fees settle in for practices
04/20/2015
by: Richard Scott
In the aftermath of the historic strike-down of the sustainable growth rate (SGR) payment formula, you can expect to see your Medicare payments arrive at their pre-April levels, while a modest pay bump and value-based payment mechanisms appear on the horizon.
New meaningful use rule would cut objectives, promote everyone to stage 2
04/20/2015
by: Roy Edroso
Your road to meeting meaningful use would get easier with shorter reporting periods and fewer measures under a new proposed rule released April 10 — even if you’re one of the eligible professionals (EPs) in stage 1 who would be promoted to “modified” stage 2.
Medicare auditors given powers to upcode, downcode claims rather than deny them
04/20/2015
by: Scott Kraft
Medicare auditors will be able to upcode or downcode claims when they believe that the provider has selected the wrong code but a payable service was rendered, according to a new CMS transmittal.
Be wary when needed elements of E/M services are missing key documentation
04/20/2015
by: Scott Kraft
When you’re missing an element of the history, examination and medical decision-making needed to bill for a new patient E/M service or an initial inpatient visit, don’t assume you can fall back on established and subsequent services. You may be running afoul of CPT coding rules and potentially taking larger payments then those to which you’re entitled.
CMS: March testing shows readiness for ICD-10; date errors dropped from results
04/20/2015
by: Laura Evans
Providers are getting better at transmitting claims with ICD-10 codes on them, and Medicare administrative contractors (MACs) are getting better at processing them, CMS concluded after the latest round of acknowledgment testing last month.
 
Open Payments 45-day review period now open for providers
04/20/2015
by: Roy Edroso
Starting April 6, physicians and teaching hospitals can review payments from pharmaceutical and medical device manufacturers attributed to them. 
Use of NPs, PAs increasing among several top-billed codes
04/20/2015
by: Karen Long
Almost all of the codes most commonly billed by nurse practitioners (NPs) and physician assistants (PAs) increased in utilization from 2011 to 2013, according to the latest Medicare data available.
Answers to 8 questions about SGR repeal bill’s impact on PQRS, meaningful use
04/13/2015
by: Richard Scott
Look over the horizon and you’ll see big changes to data-reporting systems, including the Physician Quality Reporting System (PQRS) and meaningful use programs, if the “SGR repeal” bill gets a thumbs-up from the Senate in mid-April.
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