Part B News
11/05/2012
These charts examine E/M code level selection for new and established visits (99201-99215) from 2010 to 2011, comparing primary care and specialists. Note: The “primary care” specialty shown here uses combined data from family practice, general practice and internal medicine. The “specialists” category represents combined data for 11 specialties that bill the most E/Ms to Medicare: cardiology, dermatology, gastroenterology, hematology and oncology, nephrology, neurology, ophthalmology, orthopedic surgery, pulmonary disease, rheumatology and urology. Note: The percentages above the bars indicate the change in that code level’s share of total E/M utilization for new or established versions of that level from 2010 to 2011.
11/01/2012

When the Atlanta-based healthcare staffing recruiter Jackson Healthcare recently took an online survey of physicians, it was surprised and dismayed that 34% of physicians reported plans to leave the practice of medicine over the next decade. Learn about four strategies physicians are using to maintain sustainable physician practices.

11/01/2012

In an effort to reduce the overdoses and deaths from painkillers, state and federal governments are stepping up their efforts to regulate, or at least better inform, physicians who prescribe opioids. They aren't targeting just the "pill mills," those corrupt docs who loosely prescribe painkillers for big profits. No, they are trying to reduce drug abuse and drug mishandling by setting their sights on the ordinary physicians who stand on the front line between pain and prescriptions.

11/01/2012

Now that all user-facing technology is going mobile, the demands of wireless networking and the demand for every provider to have an "mHealth" plan mean more infrastructure, more planning, and more cost when crafting a telemedicine strategy.

11/01/2012

The portion of the ACA that the Supreme Court ruled on in June affects mainly patients and insurance companies, but the impact will trickle down to physicians-eventually. Someday, physicians will be compensated differently for the services they provide, will have a different and larger patient population, and will be subject to a growing number of performance metrics on which they and the hospitals at which they practice are reimbursed. In other words, the new law changes the game entirely.

11/01/2012

Health insurer Humana has contracted with 21st Century Oncology, a large Florida-based physicians group, in what is believed to be a first-of-its-kind effort to bundle payments for radiation therapy services used to treat several common cancers. The physicians group will provide a defined set of treatments and procedures for a fixed price. If successful, the effort could serve as a blueprint to help shift the costs of complex and expensive radiation therapy services from volume-based, fee-for-service charges to evidence-based treatment.

11/01/2012
physician reimbursement, The American College of Physician Executives, ACEP, Medicare funding formula, Sustainable Growth Rate, SGR, evidence-based
11/01/2012

The American College of Physician Executives (ACPE) has informed the House Ways and Means Committee that it supports the creation of a more permanent solution to Medicare funding challenges.

11/01/2012
Is it necessary to have a time statement of less than 30 minutes in the documentation for an inpatient discharge (99238)?
 
10/29/2012
 
Republican presidential candidate Mitt Romney would reduce the regulatory burden on practices by decreasing government involvement in health care, say supporters in a recent Part B News survey. “The Affordable Care Act [ACA] is not business-friendly,” says one respondent from a multispecialty practice.

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