Part B News
CME speaker payments exemption changes for Open Payments reporting
11/10/2014
by: Marla Durben Hirsch and Roy Edroso
CMS tinkered with the compliance obligations of its Open Payments program, using the final 2015 Medicare physician fee schedule to change what continuing medical education (CME) payments are reportable and tweaking the reporting of stocks and marketed names and product areas.
 
Avoid compliance headaches; update your list of services covered by Stark rule
11/10/2014
by: Julia Kyles
Take note of revisions to the procedures and services covered by the Stark Physician Self-Referral rule in the physician fee schedule and make sure your practice isn’t involved in problematic referral arrangements for them.
 
Mixed bag of payment increases, decreases in 2015 for commonly billed codes
11/10/2014
by: Karen Long
Providers who bill electrocardiograms (93000), some subsequent hospital care codes (99232-99233) or physical therapy (97110) will see payment increases starting Jan. 1, according to a Part B News analysis of the final 2015 Medicare physician fee schedule.
Final 2015 Medicare physician fee schedule
11/10/2014
by: Part B News staff
Click the "download file" link to see a copy of the final 2015 Medicare physician fee schedule.
Breaking news: Fee schedule has more money for chronic care, more rules for PQRS
11/03/2014
by: Part B News staff
You can start billing for chronic care management (CCM) and earning $40.39 per month per patient Jan. 1, according to the 1,185-page final 2015 Medicare physician fee schedule released Oct. 31.
Target 6 core strategies to overcome TCM code denials, secure payment
11/03/2014
by: Richard Scott
A look at 2013 Medicare claims data reveals high denial rates for the new transitional care management (TCM) codes, but you can secure your reimbursement by billing on the correct day, ensuring you’re the only provider submitting a TCM claim and other key strategies.
On flu shots, check patient eligibility, bill correctly, appeal low payments
11/03/2014
by: Roy Edroso
Now that it’s flu shot season, here are seven tips to not only bill vaccinations correctly, but also get clarity with payers to avoid denials and underpayments.
 
Configure deals to ensure physicians avoid inducements, legal trouble
11/03/2014
by: Roy Edroso
Help your doctors avoid deals that could snare them in an enforcement net.
 
Improve employee productivity with proper tracking, growth opportunities
11/03/2014
by: Roy Edroso
Set relevant employee goals — but also encourage achievements that go beyond the expected — to create employee performance tracking processes that not only measure but can actually improve productivity of non-clinical staff.
 
Modifier 91: Find solution to denials triggered by lab service modifier
11/03/2014
by: Julia Kyles
A sharp increase in utilization, revenue and denials for claims associated with the modifier for repeat lab tests could combine to expose anesthesia and pain management practices to scrutiny, overpayment demands and fraud allegations.
 
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