Part B News
Part B News briefs
12/23/2013
by: Karen Long

eRx and meaningful use deadlines, new preventive service numbers, and more.

Benchmark of the Week: Most rejected codes with modifier 25 for GPs/family physicians, specialties
12/23/2013
by: Roy Edroso

Two of the top five most commonly denied codes billed with modifier 25 (Significant, separately identifiable procedures) by general practice and family doctors involve E/M of a diabetic patient.

Reports indicate SGR repeal coming — but for how long?
12/16/2013
by: Roy Edroso
Signs on Capitol Hill suggest that the sustainable growth rate (SGR) is marked for death — but will it be a lingering or a quick demise? One thing seems certain: There’ll be no draconian 20.1% cut to provider pay in 2014, and maybe none at all for years.
GPCI, practice expense, misvalued code changes to scramble your 2014 payments
12/16/2013
by: Scott Kraft
Regardless of how efforts to fix the looming cut to the 2014 Medicare physician fee schedule’s conversion factor end up, expect a series of other regulatory changes CMS enacted for 2014 to change your payments — in some cases significantly.
Clinical data registries open door to more appropriate specialty measures
12/16/2013
by: Scott Kraft
You may find it easier to participate in the Physician Quality Reporting System (PQRS) in 2014 now that CMS has finalized clinical data registries as a reporting mechanism to earn a 2014 bonus. The registries will allow specialties to have new, more specialty-relevant measures approved more quickly, which will mean better data for practices and CMS, experts tell Part B News.
How to use individual PQRS reporting to meet value-based modifier rules
12/16/2013
by: Karen Long
Your practice of 10 or more eligible professionals (EPs) could earn a 2% bonus under the value-based payment modifier if at least half of your EPs meet Physician Quality Reporting System (PQRS) requirements.
Some meaningful use deadlines delayed; critics worry about stage 2 readiness
12/16/2013
by: Roy Edroso
CMS plans to delay stage 3 meaningful use — but some health IT observers are disappointed that CMS isn’t going further and that providers won’t feel the benefits for a while.
Benchmark: E/M plus modifier 25 denials keep pace with E/M denials, 2011-2012
12/16/2013
by: Roy Edroso
Denials for E/M codes billed with modifier 25 (Significant, separately identifiable E/M service) went up as much as 3 percentage points in 2012 compared with 2011, according to CMS data.
Providers have more time before stage 3 meaningful use starts
12/09/2013
by: PBN staff
CMS will propose giving providers who started to attest for meaningful use in 2011 or 2012 more time -- until 2016 – in stage 2, according to a HealthIT.gov blog post.
SGR patch likely as chances of repeal dwindle in wake of final fee schedule
12/09/2013
by: Lauren C. Williams
Despite some forward movement in Congress this year, a permanent repeal of the sustainable growth rate (SGR) is unlikely to take effect before the new year, and a temporary patch instead is expected to take its place.
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