Check the rules for individual payers and plans to see how they’ve clarified their billing policies in the wake of the AMA’s change to the description for 69210 for impacted cerumen removal when both ears are treated.

CMS is giving out more information when denying payment based on incarceration status after several providers were caught up in an incarcerated-patient snafu via CMS last summer.

About 35% of practices say their vendors will make ICD-10 upgrades for practice management systems (PMS) and electronic health records (EHR) by April 1, but almost one in four providers have not heard dates yet from their vendors for those upgrades.

The Office of Inspector General (OIG) added only a few significant Part B targets in its 2014 Work Plan — but watch for audits on specialty providers such as heart surgeons, chiropractors and physical therapists, experts say.

Don’t stop with your electronic health records (EHR) system when conducting a risk assessment as part of a meaningful use attestation. HIPAA’s security rule requires you to conduct an annual risk assessment of your entire environment, and it’s often the actions humans take that put you most at risk.

Check remittance advice closely to nip in the bud losses caused by patients who don’t pay their premiums for Affordable Care Act (ACA) exchange plans and let those plans lapse, experts tell Part B News.

Use this compilation of some of Part B News’ best collections tips to get the money your practice is owed from patients.

Follow coding rules to avoid possible trouble when Medicare Advantage plans ask for diagnosis codes that have nothing to do with the provider’s patient assessment.

by HealthLeadersMedia staff