Part B News
10/13/2014

Vaguely worded Medicare regulations have made it difficult for practices to determine just how much work the physician needs to personally do and document to support a split/shared visit done in the inpatient setting.

10/13/2014

If you’re seeing patients who are inpatients elsewhere, whether at hospitals or skilled nursing facilities (SNFs), make sure you’ve got their details straight or you may wind up with denials.

10/13/2014

You may start seeing physicians from your Medicare administrative contractor (MAC) showing up at administrative law judge (ALJ) hearings to argue for why your appeal ought to fail.

10/13/2014

Just 7% of HIPAA complaints the Office for Civil Rights (OCR) received in 2013 resulted in an investigation that determined no violation occurred, according to the agency’s data.

10/13/2014

The cash value of the published and unpublished records in Open Payments has been adjusted upward by CMS. 

10/06/2014
The first batch of Open Payments data connecting your physicians to financial arrangements with certain businesses was published online Sept. 30. Your physicians’ financial data may not be on the CMS website now even if it was collected, but that doesn’t mean it won’t be there eventually.
 
10/06/2014
CMS is planning some big changes for the Provider Enrollment, Chain and Ownership System (PECOS) in 2015 — including letting providers change their business names within the system, having those changes automatically feed into other systems and requiring all Part D providers to enroll or opt out in PECOS.
10/06/2014
You’ll get 17% less when billing a popular code for Vitamin B12 injections, according to the average sales price (ASP) drug pricing update for the fourth quarter of 2014.
 
10/06/2014

The top ten gainers and losers in CMS' Q4 ASP drug pricing release.

10/06/2014
Don’t bill for pre-operative visits when surgeries are canceled unless you can establish the service as being medically necessary on its own.
 

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