Part B News
PBN survey shows ICD-10 adds hours to coding, billing; time for more classes?
12/07/2015
by: Roy Edroso
Though you’re probably tired of ICD-10 training by now, you should consider at least some post-transition brushing-up for your practice, results from a Part B News survey suggest. The issue isn’t so much accuracy as extra time spent on claims.
Ready for 2016 code changes to secure proper billing process
12/07/2015
by: Richard Scott
Pay attention to new codes and updated guidance on common services in 2016 so you’re prepared to meet revamped billing and payment opportunities — whether you’re in primary care or a specialty practice.
New deadline and 6 tips to contest PQRS, VBM pay cuts
12/07/2015
by: Julia Kyles, CPC-A
Good news for providers who didn’t make the Nov. 23 deadline to file an informal review request: You now have until Dec. 16 to file.
The Stark Reality: Watch out for ‘cleaned up’ accounts and crazy collections
12/07/2015
by: Stark Medical Audit and Consulting
Four auditing case studies provide insight on howt you can optimize your practice's billing and account receivable operations.
Physicians report 2.5 hours of lost productivity on average with ICD-10 roll-out
12/07/2015
by: Richard Scott
If you’re like most physician practices, you’re taking a modest but perceptible hit to productivity – with few staff unscathed – due to the Oct. 1 transition to ICD-10.
Case study: Lay the groundwork for a successful medical home transition
11/23/2015
by: Richard Scott

Take the leap into a patient-centered medical home (PCMH) to gain new payment opportunities, but don’t jump in before you’ve conducted important preliminary steps, such as carefully preparing for payer negotiations.

Expanded pilot program to settle, avoid ALJ now available to Part B providers
11/23/2015
by: Josh Poltilove

An expanding pilot program could give you more opportunity to skip the wait for an administrative law judge (ALJ) to decide your appeals’ fate.

When claims audit looks bound for the DOJ, act first to avoid penalties
11/23/2015
by: Roy Edroso

Watch for warning signs that your possible overcoding pattern may get escalated from a Medicare administrative contractor (MAC) to the Department of Justice (DOJ) — and, if it looks like it will, take steps to beat the feds to the punch.

Ways providers can avoid slowing down the process of getting appeals heard
11/23/2015
by: Josh Poltilove

Prevent delays in your appeal being heard by an administrative law judge (ALJ) with these strategies.

AWV plus a physical: Medicare says don’t bill both at full cost
11/23/2015
by: Roy Edroso

Can I bill an annual wellness visit (AWV) and a preventive physical exam on the same day — G0438 with 99397, for example — and get them both paid by Medicare?

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