Part B News
Incorporate updates, addendums to medical records while maintaining compliance
12/19/2022
by: Holly Cassano, CPC, CRC
Since the adoption of electronic health records (EHR) became commonplace in hospitals and medical practices nearly two decades ago, more people have access to the records than before. Now more than ever, the practice of keeping accurate records has shifted to accommodate the move from paper to screen.
CMS’ prior authorization reform would reap $15B over 10 years
12/19/2022
by: Richard Scott
A CMS plan to streamline the prior authorization process for certain payers would slash the amount of time spent chasing approvals and save providers billions.
To beat ACP problems, study up and get NPP, post-acute help
12/12/2022
by: Roy Edroso
The pandemic has been a bumpy time for Medicare’s advance care planning (ACP) service, with a slowed adoption rate and, per a new OIG report, providers making basic mistakes in their claims. But legislators and experts are pushing hard to make the service easier and more available.
2 definitions are key to new initial, subsequent visit guidelines
12/12/2022
by: Julia Kyles, CPC
Study the new CPT guidelines for initial and subsequent services before you code an inpatient, observation or nursing facility visit in 2023. The guidelines are based on the long-standing policy for new and established patients, explained Peter Hollman, M.D., co-chair of the AMA E/M workgroup, on Nov. 16, the first day of the 2023 CPT and RBRVS Symposium.
Unsafe handling: PHI disposed in the garbage leads to OCR resolution
12/12/2022
by: Dom Nicastro
Another resolution agreement gives medical groups a fresh HIPAA compliance lesson learned.
Co-surgery modifiers widely misused: OIG
12/12/2022
by: Part B News Staff
Medicare improperly paid physicians for co-surgery and assistant-at-surgery services that were billed without the appropriate payment modifiers, OIG says.
ACP codes return $142M for providers as billing climbs
12/12/2022
by: Richard Scott
Providers are increasingly likely to help patients navigate their advance directives and other pieces of the advance care planning (ACP) set of services, and reimbursement is climbing accordingly.\
Congress expected to reduce some, but not all, provider cuts
12/05/2022
by: Roy Edroso
With Congress working on its usual year-end fiscal legislation, experts think the 8.5% in pay cuts that providers face in 2023 will be pared back by year’s end — but they don’t expect a blanket pardon.
MDM in focus: CPT changes simplify complexity of problem addressed
12/05/2022
by: Julia Kyles, CPC
Look beyond the big shifts that are in store for level-based E/M services. The new CPT guidelines revised the number and complexity of problems addressed section and the changes apply to all level-based E/M visits. Peter Hollman, M.D., co-chair of the AMA E/M workgroup, dug into the details of the update on Nov. 16, the first day of the 2023 CPT and RBRVS Symposium.
Providers respond sharply to No Surprises RFI, but reforms may be limited
12/05/2022
by: Roy Edroso
Health care industry groups have responded forcefully to CMS’ and its fellow Departments’ request for information (RFI) on the No Surprises Act (NSA) rules, hoping the agency will ease off on some of the requirements that providers find most troublesome, as well as enforcement discretion that is scheduled to end on Jan. 1. But so far there have been no guarantees.
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