Part B News
Diabetes training, education codes up slightly, but no relief from denials
05/03/2021
by: Roy Edroso
Though CMS estimates that one in five Americans aged 65 years and over has either type 1 or type 2 diabetes, Medicare’s codes for services that help diabetic patients cope with their disease have not performed very strongly in recent years, and are beset with high denial rates.
Ransomware wrought havoc in 2020; sharpen tools, watch vendors to avoid breaches
04/26/2021
by: Roy Edroso
In a bad year for the security of medical records, 2020 saw ransomware infiltrate more medical practices and cause more damage than ever before. Now’s the time to review your vulnerabilities and consider upping your cybersecurity game.
The future of medical practice is touchless, socially distant: Experts
04/26/2021
by: Roy Edroso
The masked-up, socially distanced practice of today will look very much the same in the foreseeable future, predict experts and medical practice professionals who are tracking clinical and work trends in the industry.
OIG still watching PODs closely; review the list of suspect arrangements
04/26/2021
by: Marla Durben Hirsch
Before your doctors start or invest in a physician-owned distributorship (POD), make sure they know the arrangement will increase their compliance risk and be subject to intense scrutiny by investigators.
Sequester cuts delayed (again); MACs will reprocess docked claims
04/26/2021
by: Richard Scott
Providers gained a fresh reprieve from the sequestration payment adjustment that had been on track to dock 2% of Medicare payments starting April 1.
Proposed long-haul COVID ICD-10 code could take effect Oct. 1
04/26/2021
by: Laura Evans CPC
Providers could get a new diagnosis code to report for their post COVID-19 cases when the patient continues to have lingering symptoms after the infection is gone, ICD-10-CM officials announced last month.
Nursing facility payments show strong growth, as NPs boost their claims
04/26/2021
by: Richard Scott
Providers pulled in nearly $1.5 billion in payments for subsequent nursing facility encounters in 2019, continuing a strong rate of growth largely fueled by an uptick in nurse practitioner visits.
Did you get COVID relief funds? Prepare to pay it back, make ‘good faith’ efforts
04/19/2021
by: Roy Edroso
A little over a year into the pandemic, the feds are starting to look at COVID-related loans, grants and other payments, and they’ve started to prosecute businesses they believe have misused them. If you took relief money, make sure you can back up your right to it — and give it back if you can’t.
CMS starts recouping accelerated, advance payments tied to COVID
04/19/2021
by: Roy Edroso
On March 30, CMS started recouping the Accelerated and Advance Payments it gave out during the early days of the pandemic, and the agency will keep it up until it gets all the outstanding dollars.
Early E/M insights, Part II: Solve confusion surrounding MDM rules
04/19/2021
by: Shannon McCall, RHIA, CCS,CCS-P, CPC, CEMC, CRC, CCDS, HCS-D
This is part two of a two-part series on the new 2021 E/M office visit guidelines.
 
Effective Jan. 1, physicians billing under Medicare can base E/M level selection for outpatient visits on time or complexity of medical decision-making (MDM). When using MDM as the basis for level selection, physicians must consider three elements.
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