Part B News
As health care hacking evolves, take these 4 steps to protect your practice
10/19/2015
by: Roy Edroso
The recent discovery of new hacking threats to medical devices and systems is a reminder that you should go beyond the four walls of your offices when you perform your security risk analysis under HIPAA.
Patient engagement requirements make meaningful use stage 3 tough going
10/19/2015
by: Roy Edroso

Providers will have large loads to lift to transition to meaningful use stage 3 by 2018 — the last year before the merit-based incentive payment system (MIPS) replaces the current electronic health record (EHR) programs.

Make the transition work: 4 core billing strategies for TCM services
10/19/2015
by: Richard Scott

You can join the tide of providers who are getting paid for transitional care management (TCM) services by sticking to tried-and-true claims submission strategies, such as filing the claim with the correct date of service and holding to a contingency plan if the patient is readmitted.

Part B News brief: Initials allowed
10/19/2015
by: Roy Edroso

The age-old provider practice of initialing changes to the medical record instead of adding a full signature has been sanctioned by CMS.

Specialists join primary care in providing transitional care services
10/19/2015
by: Richard Scott

More than a dozen specialty providers billed transitional care management (TCM) services in 2014, with internal medicine setting the bar for highest utilization among physician groups and about average denial rates.

EHR final rule has fewer objectives in stage 2, more interoperability in stage 3
10/12/2015
by: Part B News staff
CMS has scaled back some objectives in stage 2 of the electronic health records (EHR) meaningful use program but plowed ahead with stage 3 despite Congressional opposition, according to a final rule released Oct. 6.
ICD-10 update: Some hit snags, others sail; all wait for processed claims
10/12/2015
by: Roy Edroso, Laura Evans, CPC, and Julia Kyles, CPC-A
As practices enter their second week in ICD-10, some continue to thrive while others struggle, resulting in a mixed bag of experiences with the new code set.
Improve your billing of 4 highly denied codes that might surprise you
10/12/2015
by: Richard Scott
Don’t let your guard down when you bill some of the most frequently used services — such as electrocardiogram, urinalysis and hemoglobin testing — or your revenue might end up among the tens of millions in denied payments that providers incur annually.
ICD-10 Z-codes don’t mean you can’t bill preventive, problem services together
10/12/2015
by: Roy Edroso
Question: I have read on a coders’ message board that under ICD-10, you can no longer bill a well visit if a patient presents with a complaint. They say the Z00.0 and the Z01 categories have a note that says, “Excludes 1: encounter for examination of sign or symptom — code to sign or symptom,” which means you cannot code a well visit and a symptomatic complaint on the same encounter. Is that right?
Upcoming OMHA forum seeks to expand settlement pilot, address ALJ backlog
10/12/2015
by: Joshua Poltilove
The Office of Medicare Hearings and Appeals (OMHA) is expanding a pilot project designed to reduce the massive backlog of appeals at the administrative law judge (ALJ) level.
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