Part B News
MACs warn of 4 billing company behaviors that could harm your practice
06/03/2024
by: Julia Kyles, CPC
Hiring the right third-party billing company can improve your revenue and reduce compliance headaches for your practice. Hiring the wrong company can mean your practice is responsible for behavior that aggravates your Medicare administrative contractor (MAC), could result in negative consequences for your practice, and the billing company might even charge you extra for the problems it is creating.
Stick to documentation requirements for wound sizing in CPT
06/03/2024
by: Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC
Question: Do you have any advice for encouraging providers to improve documentation for wound sizing in CPT?
QPP reports show MIPS fading as groups pivot to APM models
06/03/2024
by: Roy Edroso
The latest CMS reports on the Quality Payment Program (QPP) suggest that participation in the Merit-based Incentive Payment System (MIPS), while still favored by most participants, is declining as participation in the Advanced Alternative Payment Model (Advanced APM) path grows.
Part II: Expert Q&A covers NIST Cybersecurity Resource Guide
06/03/2024
by: Dom Nicastro
The National Institute of Standards and Technology (NIST) published NIST SP 800-66 Rev. 2 in February. You can turn to the publication to gain practical guidance and to safeguard health information and better understand the security concepts discussed in the HIPAA Security Rule including for business associates (BA) and covered entities (CE). The Q&A continues below.
Small practice MIPS reporting methods explained
06/03/2024
by: Julia Kyles, CPC
Small practices favored group reporting over individual and virtual group reporting methods during the 2022 Quality Payment Program (QPP) reporting period. Here is how CMS defines the different reporting methods, according to the 2022 QPP Public Use File Data Dictionary.
QPP 2022: Clinicians at small practices preferred group reporting
06/03/2024
by: Julia Kyles, CPC
Nearly 60% of small practices used the group reporting option to participate in the 2022 Quality Payment Program (QPP), and nearly 45% of small practices that participated via group reporting received the small practice bonus, according to Part B News analysis of the 2022 QPP Public Use File (PUF), which contains the most recent data on QPP participation.
CMS: In AWV, SDOH assessment can occur days before visit; append modifier
05/20/2024
by: Roy Edroso
A Change Request pertaining to the use of social determinants of health (SDOH) risk assessments during a Medicare annual wellness visit (AWV) stresses provider flexibility as to how they conduct the assessment. That should make it easier to handle the extra steps required.
Must you rehire suspended providers who get their license back? Look to contract.
05/20/2024
by: Roy Edroso
Question: I understand that when providers lose their medical licenses they can be fired or removed from a partnership agreement because not having a license prevents them from doing their job, i.e., treating patients and being paid for it. But sometimes these providers get their licenses back. Are there circumstances under which they must be rehired by their former practice?
Manage and engage remote staff with these strategies
05/20/2024
by: HCPro staff
Revenue cycle staff are among workers in many industries that are making the shift to remote work. Although there are benefits to working from home, some managers may find themselves struggling to adapt to the changes.
Alert: NIST publishes Cybersecurity Resource Guide for HIPAA security compliance
05/20/2024
by: Dom Nicastro
The National Institute of Standards and Technology (NIST) published NIST SP 800-66 Rev. 2 in February. You can turn to the publication to gain practical guidance and to safeguard health information and better understand the security concepts discussed in the HIPAA Security Rule.
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