Part B News
12/22/2014

A calculation showing how meaningful use penalties will hurt your practice may persuade your providers to buy an electronic health record (EHR) system. Here are five tips to start that process.

12/22/2014

Seeing skilled nursing facility (SNF) patients adds a wrinkle to your billing procedures, but you can avoid denials by identifying patient status and “unbundling” your professional services and billing them directly to Medicare.

12/22/2014
The checklist will help determine special billing requirements for patients currently in a skilled nursing facility (SNF) or hospice.
 
12/22/2014

Tighten up your audit procedures and take employee complaints seriously because the feds are growing more attentive to Medicare overpayments and may look to escalate more of them into fraud prosecutions.

 
12/22/2014
The biggest dollar figure attached to a commonly denied service belongs to 78452 (Nuclear medicine study of vessels of heart using drugs or exercise multiple studies) at $962.29 per denial.
12/15/2014
Your providers could get an additional 0.5% payment bonus through their medical boards if they’re properly reporting PQRS data and are board-certified — but they have to hurry.
12/15/2014
The finalization of a Medicare enrollment rule puts your practice in danger of disruption if you haven’t tightened up your personnel practices.
 
12/15/2014
Gastroenterology providers are faced with the prospect of using two code sets when billing for lower GI procedures in 2015 — a set of G codes for Medicare and new and revised CPT codes for other payers.
12/15/2014
Don’t throw out your 2014 guidance for coding quantitative drug tests. Providers who perform tests such as drug confirmation and quantitative drug screens will have to use two code sets next year, and it won’t be easy to cross-walk between the two. In addition to a new set of CPT codes for use by a number of private payers, you’ll need to use HCPCS codes that are modeled on the 2014 CPT codes to report your services to Medicare.
12/15/2014

CMS and AMA coding officials clarified policies last month at the AMA’s CPT and RBRVS 2015 Annual Symposium in Chicago (PBN 12/8/14). Here are two more points to note.

 

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