Part B News
CBO analysis renews calls for SGR repeal
05/01/2013
by: John Commins

A Congressional Budget Office analysis lops $107 billion from the cost of eliminating the Sustainable Growth Rate funding formula and may fuel support for a House bill to put an end to the mandate.

AMA issues five patient safety guidelines
05/01/2013
by: John Commins

The American Medical Association's five guidelines outline physician responsibilities during care transitions for patients recently discharged from the hospital.

Enhance your online reputation
05/01/2013
by: Marianne Aiello

In an interview, social media guru and author, Kevin Pho, MD, points out some of the biggest mistakes physicians make in regard to their online reputations, and explains how to fix them.

Meet the hybrid concierge medical practice model
05/01/2013
by: Joe Cantlupe

Under the hybrid model, doctors merge elements of traditional and concierge medical practice models. This allows them to care for patients who rely on Medicare or private insurance while offering specialized services for self-pay patients.

ID adverse drug reactions by phone
05/01/2013
by: Cheryl Clark

An automated phone system and pharmacists' follow-up calls identify and catch adverse drug events in patients.

Toward a tricorder future
05/01/2013
by: Scott Mace

While the healthcare industry acquires bits and pieces of the functions of Dr. Leonard McCoy's Star Trek tricorder, a $10 million bet says it will arrive by April 2015.

Cancer misdiagnoses surprisingly common
05/01/2013
by: Joe Cantlupe

Asked to estimate how often a misdiagnosis or incomplete characterization occurs in oncology, physicians vastly underestimate the actual numbers. "There's no feedback loop around this issue," says one observer familiar with the data.

Physician groups urge caution on 90 treatment methods
05/01/2013
by: Chelsea Rice

The updated list of recommended "don'ts" from 17 medical societies urges caution on an additional 90 standards of care.

More TCM answers: Patient contact, F2F can be same visit; don’t bill CPO with TCM
04/29/2013
by: Roy Edroso
Part B News has more answers to readers’ questions about the transitional care management (TCM) codes, 99495 and 99496, providers could start billing this year. This week’s batch explains whether one visit can satisfy the patient contact and face-to-face meeting requirements; how to handle a claim rejection based on discharge paperwork; whether you can bill care plan oversight (CPO) with TCM; and whether emergency room visits qualify.
CMS to add fifth RAC for home health, DME, but physicians could see more audits
04/29/2013
by: Karen Long
Physician practices could see more scrutiny from the four recovery auditors (RAC) now that CMS plans to shift some of their workload to another contractor.
CMS tells Part B News that it expects to add a fifth RAC with a national focus on home health and durable medical equipment (DME) claims, leaving the rest of the RACs to split up the states and concentrate on other provider types.
 
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