Part B News
How to bill during the PHE when doctor calls patient with MRI results
10/19/2020
by: Laura Evans, CPC
Question: Now that our joint surgeons are gearing back up to again perform elective procedures, if the surgeon sees the patient in the office and schedules an MRI for them, can we bill for a telehealth visit afterward to go over the results so the patient does not need to return to the office? Is there a particular telehealth code to report if the doctor calls them with the test results?
Medicare’s diabetes prevention program yet to hook many practices
10/19/2020
by: Richard Scott
Providers have been slow to make an entrance into the Medicare Diabetes Prevention Program (MDPP), which offers a series of payments to fight the rising rates of type 2 diabetes.
Update your HIPAA training to reflect emerging practice trends
10/15/2020
by: Marla Durben Hirsch
Review your practice’s HIPAA training. It may be outdated if it hasn’t evolved with business operations, technology and government priorities.
Medicare Advantage growth continues, but tread carefully if you’re new to the contracts
10/12/2020
by: Roy Edroso
Medicare Advantage plans are a hotter prospect than ever for beneficiaries — but maybe not so much for providers. If you want to get involved in those contracts, keep your eyes open and watch the fine print.
CMS finalizes mandatory radiation oncology model launching in 2021
10/12/2020
by: Valerie Rinkle, MPA, CHRI
On Sept. 18, the Centers for Medicare and Medicaid Innovation (CMMI) published the final Radiation Oncology Model (ROM) rule. This demonstration project is a mandatory model that includes approximately 30% of outpatient radiation therapy episodes nationally furnished by freestanding and hospital-based radiation oncology providers.
When a doctor dies, mind patient records and act fast if heirs are unlicensed
10/12/2020
by: Roy Edroso
Question: If one of our physicians dies, what are we obliged to do besides notify the patients and invite them to transfer care to one of our other doctors?
How to report shared visit services using the 2021 E/M guidelines
10/12/2020
by: Sarah Gould
Question: During an office visit, a nurse reviews the patient’s medical history and a physician performs an examination in the presence of the nurse. If you adhere to the 2021 E/M guidelines and use time as the controlling factor for code selection, can you report one E/M code for these shared services?
AMA releases two COVID-19 and flu combo codes
10/12/2020
by: Richard Scott
You can add two new codes to your COVID-19 response kit, with the added bonus that the codes are applicable for seasonal flu testing as well.
Medicare Advantage enrollment balloons 44% in six years
10/12/2020
by: Roy Edroso
It’s still a traditional-Medicare world, but if trends continue, it won’t be for long.
As growth of NPs and PAs accelerates, expect practice duties to rise too
10/05/2020
by: Roy Edroso
The role of nurse practitioners (NP) and physician assistants (PA) is growing — but so is the shortage of physician health care providers. This is expected to lead to an expansion in the practice capabilities of these providers, and you’re likely to see some changes in their relationship with physicians.
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