Part B News
Problem solving: Navigate ‘low’ vs. 'straightforward' MDM under 2021 rules
02/08/2021
by: Julia Kyles, CPC
Increase your understanding of the revised problem element for office-based medical decision-making (MDM) coding with the answers to questions posed during the CPT¨ and RBRVS 2021 Annual Symposium, Nov. 17-20.
As Open Payments expands, 4 tips to prepare for reporting to NPPs
02/08/2021
by: Marla Durben Hirsch
With changes on the horizon, it’s time to revisit your practice’s relationships with applicable organizations. Starting Jan. 1, 2021, companies and vendors will be required to track and report payments to non-physician practitioners (NPP) and report the information to CMS starting in 2022.
Most practices not adhering to HIPAA ‘patient access’ rules; ameliorate efforts now
02/08/2021
by: Matt Duffy
In the months before a transition to a new administration, the Office for Civil Rights (OCR) released the long-awaited 2016-2017 HIPAA Audits Industry Report, offering a look at the successes and shortcomings of select covered entities (CE) and business associates (BA).
Practices improve modifier 25 use; NP, PA activity surges
02/08/2021
by: Roy Edroso
Good news: Denial rates on codes claimed with modifier 25 (Significant, separately identifiable E/M service) remained low among the top 15 code combinations that practices submitted millions of times.
As Biden admin. takes shape, expect closer scrutiny on compliance, HIPAA, billing
02/01/2021
by: Roy Edroso
The advent of a new presidential administration is expected to bring changes in health care compliance enforcement: You should watch for the new wave of HHS, CMS and Department of Justice (DOJ) agencies to go after big health care-related crimes. They’re also likely to scrutinize HIPAA and the big payments made to help providers over the COVID-19 hump.
For E/M visits, review 6 questions and answers to clarify the new data review rules
02/01/2021
by: Julia Kyles
Be careful about double counting tests and understand how to navigate labs and other test results as they pertain to the time and medical decision-making (MDM) elements of the revamped E/M office visit rules.
When furloughs are on the table: 6 strategies to put your employees first
02/01/2021
by: Roy Edroso
If you want to use employee furloughs to decrease payroll pressure during a difficult financial stretch, make sure you’re observing the law and making it easy and desirable for your employees to come back.
AMA announces new CPT code for Johnson & Johnson’s COVID-19 vaccine
02/01/2021
by: Sarah Gould
In preparation of a pending vaccine approval, the AMA recently added a new CPT code that will be used to report a COVID-19 vaccine candidate under development by Janssen Pharmaceuticals, a division of Johnson & Johnson.
Toe procedures clipped, pathology code biggest winner under revised 2021 fees
02/01/2021
by: Richard Scott
As the fee schedule shake-up settles down, you can officially welcome thousands of codes that are seeing pay gains into your daily routine. Leading the charge is molecular pathology interpretation service G0452, with a 143% year-to-year increase in non-facility fees.
As COVID vaccines roll out, practices wait — and advocate — to get shots for their staff
01/25/2021
by: Roy Edroso
As COVID-19 vaccines slowly make their way into the health care system, practices are waiting — and in some cases pushing — to get supplies for their staff to reduce risk to their patients.
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