Part B News
10/22/2018

Question: A nurse practitioner told a patient to return after an office visit if his chest pain worsened, and the provider ordered a nuclear stress test to take place the next day. Can my provider count the plan for the stress test in the medical decision-making for the previous encounter, even if the diagnosis isn’t made until eight days after the face-to-face encounter?

10/22/2018

Question: All of a sudden, I am getting denials from everyone for billing 99214-25 with 94664 (Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device). Guidelines say billing the codes together is appropriate unless there is a recent change. Is anyone else seeing denials? Before this month, my claims were going through fine.

10/22/2018

Question: What do you know about payments for Zilretta injections? Anything specific that we need to know about billing?

10/22/2018

Experts say it’s still a tricky and underutilized service, but the numbers behind the annual wellness visit (AWV) wouldn’t make you think so

10/15/2018

If you think the amount of red tape you have to cut through is getting worse, you’re not alone. Nearly nine out of 10 medical practices report that regulatory burden has increased over the past year, and experts say that the era of high-hassle may very well be the new normal.

10/15/2018

Some simple preparation in anticipation of patient requests for clinical trial information can make them feel cared for and less frightened, and more likely to take an active role in their own treatment.

10/15/2018

Outreach to patients and staff like satisfaction surveys and advisory committees are not just touchy-feely, nice- to-have extras for medical practices but can actually help make a difference in care and financial performance, according to a new MGMA report.

10/15/2018
Some practices will find no resistance when billing for a patient who visits two or more non-physician practitioners (NPPs) on the same date of service (DOS) in a policy change that should ease denials and lessen the impact of appeals.
10/15/2018
As year two of the Quality Payment Program (QPP) winds down, practices report ongoing challenges with CMS’ full-bore pivot to value-based care and dissatisfaction with specific elements of the program, according to a survey from the Medical Group Management Association (MGMA) in Englewood, Colo.
10/08/2018
The full set from this week's benchmark. 

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