Part B News
Accreditation aims to increase PMS usability, practice efficiency
03/14/2014
by: Scott Kraft

Ensuring that practice management systems aren’t the barrier that prevents practices from taking advantage of programs designed to help payers and providers save time and money, WEDI and EHNAC are teaming up to launch the Practice Management System Accreditation Program.

Watch for MACs to scrutinize provider compliance, push fines, exclusion
03/14/2014
by: Jennifer Clampet

Pay attention to your Medicare administrative contractor’s (MAC’s) attempts to educate your physicians on medical necessity as CMS formalizes the process for dealing with providers who fail to change inappropriate billing behavior even after MACs give them extensive education.

News briefs
03/14/2014
by: Roy Edroso

SGR repeal doomed? Also: a change to the meaningful use exception form, and Sebelius says the ACA enrollment deadline is firm.

10 most utilized codes by physician assistants and nurse practitioners, 2012
03/14/2014
by: Roy Edroso

The top utilized codes attributed to non-physician practitioners (NPPs), including physician assistants (PAs) and nurse practitioners (NPs), in 2012 Medicare claims data probably won’t surprise you, but some of the denial rates further down the list may.

Despite RAC reset, providers will see new ‘related’ claims denials without ADRs
03/10/2014
by: Roy Edroso
Tighten your documentation in anticipation of appeals as a change in the way recovery auditors (RACs) deny “related” claims may send you more unexpected — and mostly unexplained — claims denials.
 
CMS pledges ‘flexibility’ on meaningful use — if your vendor is the problem
03/10/2014
by: Roy Edroso
Some practices could get a break on meaningful use penalties this year if vendor unreadiness is what’s holding up their compliance — and they can prove it.
 
Beware conflicts between HIPAA, state law when setting copy fees
03/10/2014
by: Marla Durben Hirsch
Your practice faces state medical board licensing problems or investigations by the Office for Civil Rights (OCR) if it incorrectly calculates the amount to charge patients for copies of medical records.
 
Expanded coverage for oral drugs used with chemotherapy may shift billing
03/10/2014
by: Scott Kraft
Just-released billing rules for the expanded coverage of an oral version of a three-drug regimen used to fight nausea and vomiting for patients receiving certain types of chemotherapy drugs may shift billing and payment for those drugs — and the associated revenue — from your practice.
 
MACs standardize EFT payments, make payment tracking easier for practices
03/10/2014
by: Scott Kraft
Private insurance plans aren’t the only ones required to offer physician practices the right to receive payments via electronic funds transfer (EFT). The Medicare administrative contractors (MACs) also must standardize EFT transfers, a change that may impact the way you receive your Medicare payments.
 
Ask Part B News
03/10/2014
by: Laura Evans
Need expert answers to your most pressing physician practice questions? Part B News will find them for you. Email your questions to askpbn@decisionhealth.com.
 
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