Part B News
Don’t focus on the family — CMS revisits Q-and-A to emphasize ICD-10 rules
08/10/2015
by: Julia Kyles, CPC-A
An unspecified ICD-10 diagnosis code might save a claim from a post-payment audit during the first year after the transition, but it must be valid to get through the initial submission phase, CMS emphasized in its July 31 revision to a Q-and-A document on its ICD-10 safe harbor.
5 tips to improve non-clinical staff retention without spending much money
08/10/2015
by: Roy Edroso
Can’t afford big raises to keep staff? Try low-cost changes first.
Predicting ICD-10: 5 forecasts about the Oct. 1 ICD-10 launch and how to prepare
08/10/2015
by: Richard Scott
Brace yourself for lost productivity and cash-flow issues, as some of your biggest fears related to the ICD-10 transition are expected to come true — to some degree at least. But don’t despair — you control much of your fate.
Use your resource reports to prep for PQRS 2016, beat the value-based cut
08/10/2015
by: Julia Kyles, CPC-A
Focus on the highlights section of the quality-of-care report card CMS creates for your practice to prepare for the value-based modifier (VM) calculation. Using this information now will increase the chance your practice will receive an upward payment adjustment.
Top incorrect units-of-service drugs had low denials through OIG investigation
08/10/2015
by: Roy Edroso
The five drugs that the Office of Inspector General (OIG) says were most frequently overpaid because of incorrect units of service had single-digit denial rates throughout OIG’s 2009 to 2012 investigation period and beyond, according to a Part B News analysis. And with one exception, they didn’t change much.
New CMS ICD-10 Q&A defines code family, emphasizes requirements for valid codes
08/03/2015
by: Roy Edroso, Laura Evans, CPC, and Julia Kyles, CPC-A

Practices should be prepared to give ICD-10 coding their best shot, including reporting the codes to their full specificity, based on the latest guidance from CMS.

Hospice patients in wide-ranging CMS demo will retain Part B benefits
08/03/2015
by: Burt Schorr and Scott Kraft

Billing for services provided to hospice patients may become easier for physicians under a just-announced demonstration project in which an estimated 150,000 patients will be allowed to retain access to curative treatment for their terminal illnesses while receiving hospice coverage.

Coming to PECOS: New, easier revalidation process, other changes
08/03/2015
by: Roy Edroso

Check out these updates from CMS’ PECOS Power User Focus Group meeting July 17, as provided by enrollment expert David Zetter:

Follow these steps to see the full list of your Medicare LCDs by state
08/03/2015
by: Laura Evans

Medicare administrative contractors’ local coverage determinations (LCDs) with ICD-10 codes are available for you to review on the CMS coverage database website.

Become a medical home to gain payment enhancement, path to value-based care
08/03/2015
by: Richard Scott

Make an investment to instill the process and structure of the patient-centered medical home (PCMH) in your practice and you’ll boost your chances of receiving an enhanced payment from state and private payers.

Prev Next

Login

User Name:
Password:
Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Quick Links
Learning Opportunities
See more...
Forum

The Forum is temporarily unavailable.

click icon to expand
Back to top
Privacy Policy
|
Terms of Use
|
© 2025 DecisionHealth, an HCPro Brand