Part B News
03/12/2012

Some practices seeing revenue slow because of HIPAA 5010 problems and high-deductible patients to start 2012 have found relief working with their banks to build or expand lines of credit or access business loans. One practice used $15,000 of its line of credit, which it doubled to $60,000 in anticipation of payment delays. “For once, my cynicism paid off,” he says.

03/12/2012

Have you heard this before: It takes me forever to find the information I’m looking for in an electronic health record (EHR) note because of pages of unnecessary language automatically generated by the software? Even the physicians’ workaround to look for the visit note’s last paragraph for essential information doesn’t work with some EHRs that don’t create encounter notes with such automatic prioritization. 

03/12/2012

The online discount craze perpetrated by websites such as Groupon and Living Social may help you attract new patients and fortify your bottom line, but your potential exposure to anti-kickback violations might not be worth the risk, experts say. The Oregon Board of Chiropractic Examiners tackled the online coupon issue during a meeting in July and created its own administrative rule to prohibit chiropractors from engaging in fee-splitting arrangements with sites such as Groupon.

03/12/2012

This chart depicts the most common factors preventing your peers from sharing more patient information electronically with other health care offices. Note: The data is based on results of the 2012 Healthcare Provider Survey: Key Findings on Revenue Cycle Management, Audits and Automation, compiled by IVANS in Stamford, Conn. The chart reflects 709 responses to a January 2012 web-based survey of almost entirely business/administrative managers at various health care offices, including private medical practices, hospitals, clinics, nursing homes, home health agencies and billing companies. For a free executive summary of the report, email your request to Cecile Locurto at Cecile.locurto@ivans.com.

03/12/2012

If a neurosurgeon explores spinal fusion during surgery, can the exploration be coded on the same level as the primary surgery being performed? What if the surgeon explores different levels? Can those be coded as long as the documentation states what was explored and the correct modifier is appended?

03/12/2012

TrailBlazer Health Enterprises lost its CMS contract to Highmark Medicare Services on March 1. CMS denied Trailblazer’s petition March 1 and is moving forward with the merging of Jurisdiction 4 into Jurisdiction JH, which will be all Highmark’s territory, according to the U.S. Government Accounting Office (GAO) report on TrailBlazer’s petition of the change.

03/08/2012

This month's tool is a ready-to-use encounter form for your annual wellness visits tailored specifically for patients receiving their subsequent visit of this preventive service CMS initiated in 2011.

03/05/2012

Be prepared to meet even stricter electronic health records (EHR) reporting requirements, but also to benefit from improved interoperability and vendor responses to specialty-specific provisions, now that CMS released its proposed rule for stage 2 meaningful use.

03/05/2012

You won’t be able to report a key hypertension measure for the Physician Quality Reporting System (PQRS) program until April 1 and will lose all potential reporting opportunities between Jan. 1 through March 31. That could jeopardize your bonus.

03/05/2012

Don’t assume the burden of educating patients about their payment responsibilities on your own. Instead, seek a local business partner to help you teach patients about their health plans – particularly the high-deductible health plans (HDHPs) – and you’ll improve collections and patient relations.

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