Part B News
A brief history of remote physiologic monitoring, 2019-2020
09/26/2022
by: Julia Kyles, CPC
You need a scorecard to keep track of coding and coverage changes for remote physiologic monitoring (RPM) services in the E/M chapter of the CPT manual.
5 specialties led the charge for adopting remote physiologic monitoring
09/26/2022
by: Julia Kyles, CPC
Five specialties added new E/M remote physiologic monitoring (RPM) services to their practices in 2019 and continued to increase reporting in 2020. Internal medicine was at the head of the pack in 2019 and stayed there in 2020, according to a review of Medicare Part B data for 2019 and 2020, the latest available.
Prepare for 5 medical decision-making changes, more guidance in 2023
09/19/2022
by: Julia Kyles, CPC
Alert staff to the new and revised medical decision-making (MDM) guidelines before they go into effect Jan. 1, 2023. Your practice also will need to revise materials that are based on the current MDM table and definitions, such as scorecards and training materials.
Growing role of psych NPs widens door for collaboration with PCPs
09/19/2022
by: Roy Edroso
A new study shows the growing role of psychiatric mental health nurse practitioners (PMHNP) in filling mental health care needs, and suggests alternatives for practices accustomed to refer patients who need these services.
No Surprises IDRs stall, but new rules more likely to favor providers
09/19/2022
by: Roy Edroso
Several federal agencies recently issued a set of final rules based on the No Surprises Act (NSA) that affects out-of-network reimbursement of providers. These rules should make it easier for providers to contest payer decisions — that is, if CMS can break the logjam in its independent dispute resolution (IDR) process, which experts caution the new rules may worsen.
CMS issues two comment requests on ABNs, self-referrals
09/19/2022
by: DecisionHealth Staff
On September 7, CMS published two comment requests in the Federal Register. The first request pertains to the Advance Beneficiary Notice of Noncoverage (ABN).
Providers amped up 60-minute psychotherapy service in 2020
09/19/2022
by: Richard Scott
Many psychotherapy services dipped in 2020; however, the 60-minute therapy service code gained claims while Part B payments grew by $28 million. And aside from psychiatric specialists, nurse practitioners were most likely to report a psychiatric diagnostic evaluation when also performing a separate E/M service.
Is the PHE ending? As CMS signals yes, prepare for policy, compliance changes
09/12/2022
by: Roy Edroso
A provocative post from CMS reminds us that the COVID public health emergency (PHE), in place since Jan. 31, 2020, won’t last forever. It appears the agency is preparing for the end, and so should your practice.
E/M sections of proposed fee schedule spark demand for unified policies
09/12/2022
by: Julia Kyles, CPC
CMS is receiving pushback on its plan to create three new prolonged services codes that would take effect Jan. 1. A review of comments submitted for the proposed 2023 Medicare physician fee schedule shows that health care stakeholders, ranging from specialty societies to individual coding consultants, have urged CMS to abandon its plan.
Closeout, part II: Clear legal, financial hurdles when closing a practice
09/12/2022
by: Roy Edroso
Beyond the previously-covered handling of patient records after a practice shutters, owners or partners will have to deal with parties affected by their closing — payers, patients, creditors, the medical board and others. It’s not as simple as turning out the lights and locking up; you must prepare to accommodate the needs of all the parties involved.
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