Part B News
Providers wrongfully hit with 1% e-Rx penalty must call MAC, QualityNet for possible reversal
03/19/2012
by: Lauren C. Williams

Your practice’s last hope for retrieving money lost from the 1% penalty for the e-Prescribing (e-Rx) Incentive Program is to informally appeal to your Medicare administrative contractor (MAC) or the QualityNet help desk. If you don’t, you stand to lose thousands of dollars in reimbursements this year.

Patients more likely to report you for fraud because of CMS notice redesign
03/19/2012
by: Ben Penn

Be prepared to field more questions from patients about the services you’ve already provided now that CMS went live with an easier-to-read redesign of the Medicare Summary Notice (MSN).

Need to improve efficiency at your practice? There’s an app for that
03/19/2012
by: Karen Long

Hundreds if not thousands of applications have been developed for providers to use on mobile devices, but making the effort to research and vet apps to find the best ones for you can save your practice time and money.

CMS provider call sheds light, solicits your comments on stage 2 meaningful use
03/19/2012
by: Ben Penn

As you begin your electronic health records (EHR) workflow planning, don’t feel overwhelmed by the timelines. You would avoid Medicare payment penalties as long as you begin attestation by 2016 for stage 2 meaningful use.

4 steps to a compliant response to MSN redesign
03/19/2012
by: Ben Penn

Now that patients will receive a clear set of instructions about how to report fraud – including a phone number, examples of fraud and the prospects of a personal reward – here’s how expert health care attorneys recommend you respond:

ICD-10 delay, status of code freeze still in limbo
03/19/2012
by: Steve Brust

New details on the ICD-10 delay were scarce at the ICD-9-CM Coordination and Maintenance Committee Meeting in Baltimore on March 5.

Benchmark of the Week: Allowed Medicare charge per office visit, 2010
03/19/2012

This week’s chart is a compilation of the six specialties with the highest allowed Medicare charge per office visit along with the six specialties with the lowest per-visit charges. The data, a Part B News analysis of 2010 Medicare claims, exclude specialties with smaller total service counts.

Ask a Part B News expert: Billing annual physicals, AWVs
03/19/2012

How do you bill multiple services in conjunction with annual physicals and annual wellness visits (AWV)?

Lodge HIPAA complaints against payers, clearinghouses for claims disruptions
03/12/2012
by: Lauren C. Williams

Sending a formal complaint to the Office of E-Health Standards and Services (OESS), the CMS department that enforces HIPAA compliance, is your last recourse if you’re not getting paid by Medicare or your private payers. While it may not immediately get you paid, it certainly won’t hurt your chances, experts tell Part B News. 

No need to buy a patient bill estimation tool – calculate the total yourself
03/12/2012
by: Ben Penn

Before shopping for a price estimator tool to collect payments upfront for some or the entirety of all eventual services, consider developing a calculation system in house or using a payer’s free service. For some practices, the front-end labor will justify itself in savings, increased collections and reduced accounts receivable days.

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