Part B News
Following OIG’s lead, CBR scrutinizes critical care code usage; adhere to rules
11/23/2020
by: Roy Edroso
Auditors may be looking at your providers’ critical care codes, so make sure you have the basics right.
Providers again clear $1B in revenue for critical care services
11/23/2020
by: Richard Scott
The critical care code set may be small in size, consisting of two CPT codes (99291, 99292), but it packs a wallop when it comes to provider revenue. In 2019, practices surpassed the $1 billion mark in payments tied to the two codes.
Even with COVID, practice M&A market better than expected; watch terms
11/16/2020
by: Roy Edroso
You might think the mergers and acquisition (M&A) market for physician practices would be weak, thanks to COVID-19. But experts say there’s money out there — and some properties may be almost as hot as they were before March.
The three elements of MDM: Examine the levels of ‘problems addressed’
11/16/2020
by: Laura Evans CPC
Now that documentation of history and exam will no longer be required to assign the appropriate office visit code, some coders may be looking forward to coding E/M encounters (99202-99215) based only on time.
In latest interim final rule, CMS prepares for initial vaccine coverage and payment
11/16/2020
by: Alicia Kutzer
On Oct. 28, CMS published a draft copy of an Interim Final Rule with Request for Comments (IFC) concerning coverage, billing and payment for COVID-19 vaccines and therapeutics.
OCR: Don’t honor patient requests that could violate Title VI
11/16/2020
by: Marla Durben Hirsch
Your patients may request treatment by a physician or other clinician at your practice. But if they request —or demand — a clinician based on the employee’s race, color or national origin, that’s not a request you can acquiesce to, because that would constitute discrimination.
5 ways to respond when a patient request is motivated by bias
11/16/2020
by: Marla Durben Hirsch
5 ways to respond when a patient request is motivated by bias Honoring a patient’s request or demand for a clinician based on race, color or national origin is not legal, as the HHS Office for Civil Rights (OCR) has pointed out in a recent bulletin about the COVID-19 pandemic. Here are five steps to prepare for and deal with such a situation.
2019 Medicare claims: More utilization and payments, lower denial rate
11/16/2020
by: Roy Edroso
CMS released its Part B claims numbers for 2019 on Nov. 5, and the yearly numbers show nearly everything growing except two areas: denial rates and E/M utilization.
2020 Medical Practice Staff Salary and Trends Report
11/12/2020
by: Richard Scott
Through the array of charts and data contained in this special report, you’ll find key characteristics of the medical practice professional working in ambulatory care settings today. From education and credentialing to emerging responsibilities and shifting practice trends, discover an illustrative look at the key personnel keeping medical practices going strong.
Pandemic practice fallout persists; shore up with short-term savings
11/09/2020
by: Roy Edroso
A new AMA survey shows that the financial impact of the pandemic on medical practice has been brutal and widespread, indicating that practices should prepare to withstand more lean times in the coming months.
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