Part B News
Medicare Advantage network changes likely to impact 2014 patient mix
12/23/2013
by: Scott Kraft

Private payer Medicare Advantage plans changing their physician networks could significantly impact how your patient population takes shape in 2014. But you have the opportunity to shape those changes, experts tell Part B News.

Look for heparin, B12 jumps in otherwise stable Q1 2014 drug prices
12/23/2013
by: Roy Edroso

A few of the most commonly used drugs see the biggest changes in the Q1 2014 average sales price (ASP) for drugs.

Use CG-CAHPS, extra questions to improve patient care, PQRS scores
12/23/2013
by: Roy Edroso

If you must do Physician Quality Reporting System (PQRS) reporting to avoid a pay cut, you might as well take advantage of it to help your practice. Use a patient-satisfaction reporting option for PQRS, now available to medium-sized as well as large practices, to audit your patient care environment and make changes to improve it.

CMS extends timeline by two years for collecting missed overpayments
12/23/2013
by: Lauren C. Williams

CMS will have more time to find and collect overpayments by increasing the statute of limitations, according to a provision in the final 2014 Medicare physician fee schedule.

Part B News briefs
12/23/2013
by: Karen Long

eRx and meaningful use deadlines, new preventive service numbers, and more.

Benchmark of the Week: Most rejected codes with modifier 25 for GPs/family physicians, specialties
12/23/2013
by: Roy Edroso

Two of the top five most commonly denied codes billed with modifier 25 (Significant, separately identifiable procedures) by general practice and family doctors involve E/M of a diabetic patient.

Reports indicate SGR repeal coming — but for how long?
12/16/2013
by: Roy Edroso
Signs on Capitol Hill suggest that the sustainable growth rate (SGR) is marked for death — but will it be a lingering or a quick demise? One thing seems certain: There’ll be no draconian 20.1% cut to provider pay in 2014, and maybe none at all for years.
GPCI, practice expense, misvalued code changes to scramble your 2014 payments
12/16/2013
by: Scott Kraft
Regardless of how efforts to fix the looming cut to the 2014 Medicare physician fee schedule’s conversion factor end up, expect a series of other regulatory changes CMS enacted for 2014 to change your payments — in some cases significantly.
Clinical data registries open door to more appropriate specialty measures
12/16/2013
by: Scott Kraft
You may find it easier to participate in the Physician Quality Reporting System (PQRS) in 2014 now that CMS has finalized clinical data registries as a reporting mechanism to earn a 2014 bonus. The registries will allow specialties to have new, more specialty-relevant measures approved more quickly, which will mean better data for practices and CMS, experts tell Part B News.
How to use individual PQRS reporting to meet value-based modifier rules
12/16/2013
by: Karen Long
Your practice of 10 or more eligible professionals (EPs) could earn a 2% bonus under the value-based payment modifier if at least half of your EPs meet Physician Quality Reporting System (PQRS) requirements.
Prev Next

Login

User Name:
Password:
Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Quick Links
Forum

The Forum is temporarily unavailable.

click icon to expand
Back to top
Privacy Policy
|
Terms of Use
|
© 2025 DecisionHealth, a division of HCPro LLC