Part B News | Part B News

Got heavy Medicare Advantage record requests? Stop them in the contract stage

05/08/2017

If your Part C payers are bombarding you with record requests, there are only a few ways out — and your best course is to fix it in your contract.

Obamacare replacement passes in House; budget may further strain ACA insurers

05/08/2017

by: Roy Edroso

On May 4 the AHCA passed the House of Representatives 217-213 after a dramatic late push that changed key votes. The Obamacare replacement had previously gone down to defeat in the Republicans’ first attempt to push it through the House.

Strengthen lab referrals, cut denials with focus on billing details

05/08/2017

by: Richard Scott

Firm up several required parts of your office’s lab-referral process, including a signed note and sufficient documentation, to avoid getting rejected on what should be an easy lay-up.

Adopt 4 changes to increase your success with MIPS

05/08/2017

by: Marla Durben Hirsch

Be prepared to revise how your practice runs so that you can maximize your chances of earning an incentive payment under the new merit-based incentive payment system (MIPS).

Use 3 checklists to affirm correct use of common E/M modifiers

05/08/2017

by: Richard Scott

Identifying problem areas for a trio of E/M modifiers — 24 (Unrelated E/M service by the same physician during the postoperative period), 25 (Significant, separately identifiable E/M service) and 57 (Decision for surgery) — can help you avoid pitfalls and improve your reporting accuracy.

Post-op E/M codes tied to modifier 24 show fluctuating denial rates

05/08/2017

by: Richard Scott

During the three-year span from 2013 to 2015, providers generally achieved an increasing degree of success when reporting post-op E/M services with modifier 24 (Unrelated E/M service by the same physician during a postoperative period).

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