Part B News
High modifier 25-based revenue could attract auditor interest
06/14/2021
by: Julia Kyles, additional reporting by Richard Scott
Watch a recent addition to the HHS Office of Inspector General’s (OIG) Work Plan: It may have implications for practices that frequently report a procedure and an E/M visit during the same patient encounter.
Practices pulled out of COVID better than expected; telehealth, feds’ response helped
06/07/2021
by: Roy Edroso
Embracing technology in the office to boost operations and maintain patient volume was one of the more effective strategies providers used to fend off the COVID doldrums, and the experience may serve as a roadmap for disruptions in the future. It appears government money didn’t hurt, either.
CMS withdraws split/shared, critical care guidelines, but maintains coverage
06/07/2021
by: Julia Kyles, CPC
Watch for a chance to shape Medicare’s policies for split/shared E/M visits and critical care services when CMS posts proposed rules on the topics. In the meantime, you can continue to perform the services even though CMS has removed the guidelines from the Claims Policy Manual.
Good guidance rule gives practices a new way to challenge CMS guidelines
06/07/2021
by: Julia Kyles, CPC
CMS’ recent withdrawal of its guidelines for critical care and split/shared E/M services demonstrates the power of the good guidance rule, which went into operation Jan. 6.
$22 million case shows danger in provider-facility billing claim conflicts
06/07/2021
by: Roy Edroso
A $22 million U.S. Department of Justice (DOJ) settlement with a university hospital that allegedly mixed up billing from its facility and provider departments underlines the importance of keeping straight what gets sent to CMS, and by whom.
Top codes with POS 11 intersect little with most-reported claims
06/07/2021
by: Roy Edroso
You might expect that the most-used codes billed under place of service (POS) 11 (Office) would closely mirror the most-reported codes overall. But aside from the two most popular E/M codes, they don’t much overlap.
Did we talk? Physicians can count discussions that meet the new E/M definition
05/24/2021
by: Julia Kyles, CPC
A “discussion of management or test interpretation” can earn a moderate or high score under the data review element of an E/M office visit. But before you give the billing practitioner credit for a discussion, make sure the documentation shows that it met the definition that was added to the 2021 CPT guidelines for E/M services on March 9.
The new definition of ‘discussion’ for E/M office visits
05/24/2021
by: Julia Kyles, CPC
Share the official definition of a discussion under the new guidelines for office E/M visits (99202-99215) with practitioners and coders.
AI-backed virtual assistants offer patient-centric solutions; mind compliance
05/24/2021
by: Roy Edroso
As your practice emerges from the COVID-19 slowdown, you might consider “virtual assistants” as part of the mix of tools that can smooth patients’ return to the office and help them, along with your care teams, to make up for lost time.
Employers warned not to overreact to CDC’s latest mask guidance
05/24/2021
by: Roy Edroso
The CDC’s recent announcement that people fully vaccinated against COVID-19 can shed their masks in many settings, including indoors, no doubt came as welcome news to mask-weary workers. However, employers are warned not to relax rules too quickly.
Prev Next

Login

User Name:
Password:
Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Quick Links
Learning Opportunities
See more...
Forum

The Forum is temporarily unavailable.

click icon to expand
Back to top
Privacy Policy
|
Terms of Use
|
© 2025 DecisionHealth, an HCPro Brand