Part B News
Consider ‘prehab’ to improve recovery from surgery — and help meet value-based targets
03/09/2020
by: Roy Edroso
A new study shows prehabilitation services for surgery patients can lead to improved post-surgical results Ð adding further evidence that such services can help your practice hit value-based care and Merit-based Incentive Payment System (MIPS) targets to boost both patient health and practice earnings. 
Consider ‘prehab’ to improve recovery from surgery — and help meet value-based targets
03/09/2020
by: Roy Edroso

A new study shows prehabilitation services for surgery patients can lead to improved post-surgical results – adding further evidence that such services can help your practice hit value-based care and MIPS targets to boost both patient health and practice earnings. 

 

CDC issues extended guidance on how to code COVID-19 cases, lab panels
03/09/2020
by: Laura Evans, CPC, and Richard Scott
With the 2019 novel coronavirus (COVID-19) continuing to spread internationally, the coding world is catching up, little by little.
Refreshed MAC guidance clarifies same-day billing of AWVs and E/M codes
03/09/2020
by: Jim Dresbach
A significant chunk of reimbursement awaits deposit into your accounts receivable when you partner a Medicare annual wellness visit (AWV) with an E/M service on the same day. 
Privacy protection: Know the rules before you share children’s medical records
03/09/2020
by: Marla Durben Hirsch
Review how you handle requests from parents who want to access their children’s medical records. The rules regarding these requests are more complicated than a direct request by a patient. 
Payment for subsequent annual wellness visits rises 116% over recent 5-year stretch
03/09/2020
by: Richard Scott
Internal medicine and family practice providers led the charge behind the 15% reimbursement gains for subsequent annual wellness visit (AWV) code G0439 between 2017 and 2018, when payments topped $844 million.
CMS establishes additional coronavirus lab test code, coverage fact sheets
03/06/2020
by: Jim Dresbach
In a swift call to action, CMS has introduced a second HCPCS novel coronavirus lab test code for you to add to revenue billing cycles and released three fact sheets that spell out public and private health care insurance coverages.
Prior auth projects proliferate — but provider relief from their hassle not coming soon
03/02/2020
by: Roy Edroso

Despite a flurry of activity and some high-level chatter, the hassle of prior authorization is unlikely to get better anytime soon. But keep an eye open for two possible workarounds: technical solutions that may lower the administrative burden and legal remedies that could shorten the approval timeline.

Diminish the tide of E/M discharge coding denials with documentation excellence
03/02/2020
by: James Dresbach

With a combined denied amount surpassing the $100 million mark in recent years, E/M coding for hospital discharges (99238, 99239) should demand an extra dose of monitoring for errors and a stringent checklist for documentation standards to improve pay streams.

Check with your MAC on retroactive rollback of 59 Q1 CCI edits
03/02/2020
by: Laura Evans

Take heart if you’ve been getting denials this year for therapy evaluations (97161-97172) when reported with one-on-one therapy activities (97530) or group therapy procedures (97150). The National Correct Coding Initiative (CCI) edits that caused those denials have been deleted retroactive to Jan. 1, and you can get reimbursed for the denied claims.

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