Home | News & Analysis | PBN Current Issue
Part B News
06/30/2025
You can take your team through the notes for the 487 new diagnosis codes when you receive your 2026 DecisionHealth ICD-10-CM manual. But remember to check the tabular addenda for codes that you regularly report so you don’t miss additional information that can augment coding through more guidance or alert you to potential pitfalls.
06/30/2025
CMS developed medically unlikely edits (MUE) as a way to limit the number of times a particular service is allowed to be billed by a single provider to a single patient on a given date of service. Medicare began using these unit-of-service edits in 2007 in an effort to reduce payment errors for Medicare Part B claims.
06/30/2025
Selecting a level of medical decision-making (MDM) is confusing and complicated. This article defines key terms and describes a simplified system for selecting a level.
06/30/2025
Practices turned to two of the X-series modifiers in place of modifier 59 (Distinct procedural service) more than 7 million times in 2023 and saw mixed results with denial rates on the top-billed codes.

Login

User Name:
Password:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Back to top