Part B News
As practice laws loosen, nurse practitioner wave rolls across the U.S.
07/02/2018
by: Richard Scott
By nearly any metric, these appear to be boom times for nurse practitioners: Their ranks are growing, salaries are up and job searches are through the roof.
7 ways to use MIPS data and scores to change your 2018 success strategy
07/02/2018
by: Roy Edroso

Data from your 2017 performance in the merit-based incentive payment system (MIPS) is now available and more is on the way. Use the information to improve your performance and your score in 2018.

New CMS request for information suggests changes coming to Stark Law
07/02/2018
by: Roy Edroso
A request for information (RFI) from CMS asks stakeholders about enforcement of the physician self-referral law in certain delivery models — and appears to be part of a trend toward Stark reform in the agency.
Medicare Advantage plans follow CMS’ lead on modifier FY for imaging services
07/02/2018
by: Richard Scott
Question: Modifier FY is now required per CMS for any X-ray taken using computed radiography technology/cassette based imaging. Does anyone have any information about whether the Medicare Advantage plans are following this guideline as well?
6 steps to protect your practice when a patient’s attorney requests records
07/02/2018
by: Marla Durben Hirsch
The recent news reports that three men claiming to represent President Donald Trump, including an attorney from the Trump Organization, raided the medical offices of Trump’s long-time personal physician and took Trump’s records is a good reminder that third parties don’t have an automatic right to patient records even when they say they do.
Outside of E/Ms, surgical team and injections, NPPs have denial trouble
07/02/2018
by: Roy Edroso
Non-physician practitioners (NPPs) have lower-than-average denial rates on E/Ms, but our analysis suggests they have trouble with other types of codes. 
Check all employees monthly – and try different name spellings – to avoid exclusion hassles
06/26/2018
by: Roy Edroso

Despite an apparently simple process, provider exclusions get missed all the time, costing practices a fortune in claims takebacks and penalties. To avoid this, set up a process, check everybody and sweat the details.

Adopt standalone EHR training to save providers precious time
06/25/2018
by: Richard Scott

Investing in additional training for your electronic health record (EHR) can significantly improve your providers’ efficiency with the technology and reduce the taxing effect of lag time that can cut into your revenue stream.

Follow AHA Coding Clinic’s advice for marijuana, prescription opioid use
06/25/2018
by: Julia Kyles

As more states legalize the use of marijuana, you may see documentation of recreational marijuana use by patients. But don’t code it unless the clinician documents a problem associated with the drug’s use, according to the American Hospital Association’s (AHA’s) Coding Clinic second quarter guidance.

Conduct a mid-year MIPS check-up of your clinicians’ quality efforts
06/25/2018
by: Julia Kyles

It’s halfway through the reporting year for the quality portion of the merit-based incentive payment system (MIPS). If clinicians at your practice are reporting quality via claims, this is a good time to take stock of how they’re doing.

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