Part B News
Coming CCI edits bundle E/M services, reduce allowable lesion-removal units
12/17/2018
by: Richard Scott
You soon will welcome more than 45,000 new code bundles that place some level of restriction on your claims reporting — including common debridement, biopsy and E/M services — as the latest Correct Coding Initiative (CCI) edits sweep into place Jan. 1.
Tune up your coding to reap rewards in expanding CCM universe
12/17/2018
by: Richard Scott

As the spectrum of chronic care management (CCM) services widens, avoid a series of common coding and documentation errors, such as missing notes and a lack of specified timing, to ensure your claims are passing through without a problem.

Lesion-removal, skin codes top list of most-used services facing unit cuts
12/17/2018
by: Richard Scott

Among a raft of codes that are on track to lose eligible service amounts in the new year, you’ll find a series of lesion-removal services and other integumentary procedural codes, according to the Correct Coding Initiative (CCI) version 25.0 edits taking effect Jan. 1

Make sanction policy, hit other marks to avoid big fines for small HIPAA breaches
12/10/2018
by: Roy Edroso
A recent HIPAA breach that involved transmission of protected health information (PHI) to only one party — a reporter — nonetheless cost a Connecticut practice $125,000, in part because the practice didn’t take simple precautions, which you should be taking right now.
CCI policy manual targets biopsy codes, lesion repair, bilateral services
12/10/2018
by: Richard Scott
Take cues from the revised Correct Coding Initiative policy manual released in mid-November to polish your coding and billing efforts in 2019 and avoid common infractions tied to modifier 50, repair and tissue transfer procedures, lab testing and other areas.
Make note of separate incisions when coding multi-level spinal fusion
12/10/2018
by: Laura Evans, CPC
Spine surgery coders will want to pay close attention to the 2019 updates to Medicare’s National Correct Coding Initiative (CCI) policy manual. You’ll find important changes to Medicare’s coding rules for multi-level fusions and fusions performed with a decompression.
Prepare for ransomware attacks: Conduct a ‘tabletop’ exercise
12/10/2018
by: Marla Durben Hirsch
Hold a tabletop exercise to gain a greater awareness of HIPAA security and to know how your practice should respond to a ransomware attack.
Denials improve for claims with modifier 50
12/10/2018
by: Roy Edroso
In past five years, providers have vastly improved their denial rates on codes with modifier 50 (Bilateral procedure), Medicare data show.
Look at practice’s culture, employee retention when training non-clinical staff
12/03/2018
by: Roy Edroso
To keep up practice performance and cement employee loyalty in a tight market, improve your training of non-clinical staff to include not only job basics but also patient service and, where appropriate, management skills.
Welcome new options for remote-monitoring and treatment services
12/03/2018
by: Richard Scott

Expand your horizon when it comes to remote patient monitoring, and you’ll find a tech-fueled way to seize payment opportunities when assessing and managing care during non-face-to-face episodes. Medicare will cover three new CPT codes for “chronic care remote physiologic monitoring” starting Jan. 1.

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