Part B News | Part B News

Watch high-risk claims as first-level appeal success drops

11/01/2013

OIG reports first-level appeals are increasingly unsuccessful. You should focus your attention on high-denial claims categories in response, experts tell Part B News.

Surrogate PECOS now allows authorized parties to handle provider enrollment

11/01/2013

by: Scott Kraft

Providers can now have a member of the practice or a third-party enter or modify enrollment information about them in PECOS. Here's how.

7 payer contract terms to monitor as health exchanges launch

11/01/2013

by: Scott Kraft

You are likely to leave money on the table in the form of lower rates for patients with ACA exchange plans when you don’t proactively act on contract amendments sent by your existing health payers, experts says.

7 ways to lower costs by cutting operational waste

11/01/2013

by: Scott Kraft

Before your practice reduces staff to save money, take a detailed look around — ideas for trimming unnecessary costs may be hiding in plain sight.

Don’t let surge in private payer denials threaten your bottom line

11/01/2013

by: Scott Kraft

Private payers have noticed the extra scrutiny your Medicare fee-for-service claims face from different auditors, and they’ve been getting in the act as well – launching aggressive audits, claims reviews and denials management strategies hitting your bottom line.

Benchmark: Success rates for 2nd-level appeals to Medicare

11/01/2013

by: Roy Edroso

If you plan to appeal denied claims, it helps to know (using CMS data) what your chances are.

Login

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