Part B News
Digital access: CMS will allow mental health patients to stay online, mulls extensions
07/26/2021
by: Roy Edroso
CMS may keep at least some of the codes it allowed for telehealth during the public health emergency (PHE) through the end of 2023, and patients receiving mental health services via telehealth will be eligible for the digital services longer than that.
Big lift before MVP transition, with fewer quality measures, higher threshold
07/26/2021
by: Roy Edroso
Your practice may be relieved that the debut of the new MIPS Value Pathways (MVP) model for the Quality Payment Program/Merit-Based Incentive Payment System (QPP/MIPS) has been pushed back again in the proposed 2022 Medicare physician fee schedule. But don’t relax too much: A massive 15-point lift in the MIPS performance threshold will make the last year of the current MIPS structure challenging anyway.
Limits proposed for teaching physician billing
07/26/2021
by: Richard Scott
You will find a couple of key revisions to the billing rules for teaching physicians should certain pieces of the proposed 2022 Medicare physician fee schedule take hold as planned.
Physician assistants would be paid directly under Part B
07/26/2021
by: Laura Evans CPC
CMS proposes to begin direct payment to physician assistants (PA) for professional services they provide. Right now, Medicare can only make payment to the PA’s employer or provider for whom the PA is a contractor. Under the proposal, mandated by the Consolidated Appropriations Act of 2021 that passed in December 2020, PAs would also be able to accept or reassign payment for their services.
Shared Savings ACOs get a year off from electronic clinical quality measures
07/26/2021
by: Roy Edroso
After their first year of using the Alternative Payment Model (APM) Performance Pathway (APP) reporting method, participants in the Shared Savings program are spared further challenges as CMS delays the full transition to electronic clinical quality measures (eCQM) and MIPS clinical quality measures (MIPS CQM) and scales back some program requirements.
Fee schedule round-up: Payment and policy updates
07/26/2021
by: DecisionHealth Staff
Don’t miss out on other important updates contained in the proposed 2022 Medicare physician fee schedule.
2022 fee tally: Winners and losers under the proposed physician fee schedule
07/26/2021
by: Richard Scott
As providers brace for a nearly 4% cut to the 2022 conversion factor, the impact of relative value unit (RVU) changes on specialties fluctuates from a 10% gain for portable X-ray suppliers to a -9% drop for interventional radiology.
Diagnosis codes for post-COVID-19, new social determinants of health go into effect Oct. 1
07/19/2021
by: DecisionHealth Staff
Practices will have a new ICD-10-CM code to report for post COVID-19 cases starting Oct. 1.
To avoid suit over patient violence, assess and improve security – and document it
07/19/2021
by: Roy Edroso
Legal action from a hospital resident attacked and injured by a patient is a reminder that health care employers have a legal duty to protect their workers. By documenting good-faith efforts to do so, clinics and other facilities can protect themselves, too.
Expert: Surprise billing rules’ explanation of benefits demands will prove challenging
07/19/2021
by: Roy Edroso
The rules on surprise billing that started rolling out from federal agencies in July are expected to lead to more reporting responsibilities for your practice in the coming months, a regulatory expert tells Part B News.
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