Part B News
How to accurately report multiday EEGs, with and without video
08/09/2021
by: Lori-Lynne A. Webb, CPC
Question: When might it be appropriate to report CPT codes for multiday electroencephalograms (EEG)? In addition, should these codes be billed on the day of initiating or ending the EEG study?
CY2022 fee winners paced by CCM codes; multiple procedures lose cash
08/09/2021
by: Richard Scott
Check the payment forecast for Medicare-covered codes: Despite a cut to the conversion factor, some services stand to garner significant pay increases in 2022. The biggest winner? That would be complex chronic care management (CCM) code 99489, on pace to rise 63%.
CMS’ push for ‘equity’ won’t change providers’ lives today, but may soon
08/02/2021
by: Roy Edroso
The term “health equity” is turning up frequently in CMS rulemaking. Its impact is mostly seen far upstream of medical practice work, but experts see a growing role for it in the value-based future, where equitable health treatment can pay off for both patients and providers
CMS plans tougher critical care rules along with new split/shared policy
08/02/2021
by: Julia Kyles, CPC
If you enjoyed the twists and turns of CMS’ proposed split/shared policy, don’t miss similar turbulence in the proposed guidelines for critical care services (99291-99292) that also are part of the proposed 2022 Medicare physician fee schedule.
Enrollment fee may disappear as CMS nudges diabetes prevention, nutrition therapy services
08/02/2021
by: Roy Edroso
CMS is showing interest in shoring up the underutilized Medicare Diabetes Prevention Program (MDPP) and medical nutrition therapy (MNT) services in the proposed 2022 Medicare physician fee schedule.
Take a first peek at dozens of new codes slated to appear in 2022
08/02/2021
by: Julia Kyles, CPC
You’ll see dozens of new and revised codes in your 2022 CPT manual, according to a preview of the annual code updates contained in the proposed 2022 Medicare physician fee schedule released July 13.
Projected payments for new procedures and visits in 2022
08/02/2021
by: Julia Kyles, CPC
Take a look at the national payment for the new codes that will be paid under the Medicare physician fee schedule in 2022, in the non-facility (Non-Fac.) and facility (Fac.) settings, according to the proposed rule. Payments were calculated using the relative value units (RVU) in Addendum B to the proposed physician fee schedule and the proposed $33.5848 conversion factor.
Proposed cuts hit 38 of 40 high-utilization procedures, visits in CY2022
08/02/2021
by: Roy Edroso
Last year saw plenty of double-digit cuts in the “selected procedures” that CMS traditionally calls out to show the impact of the proposed physician fee schedule (PFS) on a suite of Medicare’s most frequently used codes.
CMS designs drastic changes to its split/shared policy
07/26/2021
by: Julia Kyles, CPC
Take careful notice of CMS’ proposed split/shared visit policy if your practice’s physicians and qualified health care professionals (QHP) regularly team up for hospital visits. CMS’ plans for split/shared visits in 2022 bear little resemblance to the original policy.
CMS proposes a 4% rate cut; opposition gets vocal
07/26/2021
by: Richard Scott
It didn’t take long for critics to lambast the proposed 3.75% reduction to the conversion factor after CMS announced its rate-setting plans July 13.
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