Part B News
Harness these 7 tips to gain a return on investment for meaningful use objectives
11/24/2014
by: Richard Scott
Attesting to meaningful use is not without its labor pains, but physician practices that meet the program’s core objectives can save hundreds of dollars every month and better engage their patient populations.
 
For endoscopic procedures, key to billing a separate E/M is often timing
11/24/2014
by: Scott Kraft
Whether you are billing for a laryngoscopy with 31510, a colonoscopy with 45378 or a nasopharyngoscopy with 92511, a quick check of the CCI edits will find that each has an E/M service bundled into it, so it’s important to know the factors determining when you can bill a seperate E/M.
 
Work with outside practitioners, patients to head off value-modifier cut
11/24/2014
by: Roy Edroso
CMS’ judgment on your patients’ care — and your reimbursement for it — is increasingly based on care your patients receive outside of your office. To keep from losing reimbursement you’ve earned, look at your quality reporting scores and start outreach to patients and care partners.
 
CMS elects not to finalize proposed DME fitting requirements
11/24/2014
by: Laura Evans
Orthopedic practices and their staff members that fit custom orthotics in the office will not be required to adhere to a tough new “specialized training” requirement for those services, proposed in July by CMS.
Medicare revises the additional documentation timeline
11/24/2014
by: Julia Kyles
Providers under pre-payment review by a Medicare contractor or zone program integrity contractor will have 45 calendar days to submit additional documentation, effective April 1, 2015.
CMS amends final rule affecting physician-owned hospital expansion requests, allows first expansion
11/24/2014
by: Marla Durben Hirsch
The amended rule, published Nov. 10 as part of the Outpatient Prospective Payment System Rule for 2015, among other things increases notification requirements and community input and allows additional data sources. 
Comments sought on ways to reduce hearing backlog
11/24/2014
by: Marla Durben Hirsch
HHS’ Office of Medicare Hearings and Appeals (OMHA) is soliciting input on how to address the growth in requests for hearings for payment denials.
Top billed endoscopy codes see increases in denial rates; others see decreases
11/24/2014
by: Karen Long
Denial rates for commonly billed endoscopy codes 45380 (Biopsy of large bowel using an endoscope) and 45378 (Diagnostic examination of large bowel using an endoscope) crept up in 2013 from the year before but the similarities in trends may end there.
 
Learn to coordinate, offer clear explanation to patients to claim new CCM code
11/17/2014
by: Roy Edroso
Prepare to collect about $40 per patient with the new chronic care management (CCM) codes by adopting tested care-management techniques and preparing to offer a good explanation to patients with chronic illnesses as to why they need the services.
Coordinate your EHR, PQRS compliance efforts to ensure success in 2015
11/17/2014
by: Julia Kyles

Changes in the final 2015 Medicare physician fee schedule mean you can say goodbye to quality reporting short-cuts and hello to tougher requirements next year. But if you work with your electronic health record (EHR) vendor now, you’ll be on the right path to meet meaningful use and physician quality reporting system (PQRS) requirements in 2015.

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