Part B News
09/30/2024
A national warning on third-party billers should serve as a reminder to all providers who bill Medicare for their services: They must know enough about coding and billing rules to check up on claims submitted in their name to protect themselves from accusations of fraud.
09/30/2024
Question: Is there any law that says a medical provider can’t date one of their patients?
09/30/2024
Question: How are recent advancements in artificial intelligence (AI) and machine learning (ML) impacting the management of patient data privacy, and what best practices should HIPAA compliance officers implement to address these challenges?
09/30/2024
Question: Have you ever encountered a practice wanting to bill T1016 (Case management, each 15 minutes) for a workers’ compensation visit where the case manager is present and the provider discussed the case with them? The practice wants to report T1016 in addition to the office visit E/M code. When I researched this code it appears to be for behavioral/mental health and not the work comp case manager situation. Do you have any insight on this?
09/30/2024
As the use of RPM services surged in recent years, OIG is seeking additional safeguards to ensure that RPM “is used and billed appropriately in Medicare.”
09/30/2024
The number of Medicare Part B patients who used telehealth remained above pre-COVID-19 public health emergency (PHE) levels as the one-year anniversary of the PHE’s end approached.
09/23/2024
Take time to review 2024’s final set of National Correct Coding Initiative (NCCI) edits so your final quarter isn’t plagued with avoidable denials. The upcoming edits for covered procedures, taking effect Oct. 1,  feature hundreds of new pairs that bundle skin debridement, wound care and blood vessel repair services into new codes and could catch your practice off guard if you’ve been reporting them together without problems this year.
09/23/2024
A news story out of North Carolina raises a question: It’s common knowledge that providers can’t share patient records outside their practice without permission, but what about inside the practice?
09/23/2024
Practices should update billing systems, communicate with patients and train staff on the pending human immunodeficiency virus (HIV) preventive service benefit, suggests the American Academy of Family Physicians (AAFP) in tips it shared with Part B News.
09/23/2024
When it comes to colonoscopies in outpatient settings, being able to differentiate between the types of procedures is essential for coders so that they select the right codes.

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