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03/23/2009

This week's question is answered by John Bishop, senior consultant for DecisionHealth Professional Services.

Q. What has to be documented for a provider to bill the 93010 (electrocardiogram 12 leads $9.02), professional interpretation and report of an EKG? Are the provider's initials on the tracing enough?

03/23/2009
03/23/2009

Partisan debate over government-funded health care versus commercial health plans ramped up as the Medicare Payment Advisory Commission (MedPAC) chairman testified before a Congressional health committee March 17.

03/23/2009

The average sales price (ASP) drug list covered by Part B will receive an overall increase for the second quarter that starts April 1, according to an analysis by Part B News.

03/23/2009

Analyze your patient volume and practice performance very carefully before you reduce staff levels in a sinking economy, experts tell Part B News. One small practice interviewed for this story fired 16% of its workforce after a careful analysis. Many practices aren't facing the same level of crisis, so they should avoid "stepping over dollars to pick up dimes," says one practice management expert. Translation? The strategy that's best for your bottom line may not require firing anyone at all.

03/23/2009

A staggering onslaught of more than 300,000 changes await you in the latest series of Correct Coding Initiative (CCI) edits issued by CMS. A total of 304,591 edit pairs were added in CCI version 15.1, effective April 1. Only 36 edit pairs were deleted.

03/23/2009

This chart shows how primary care utilization of imaging services has changed from 2005 to 2007.

03/23/2009

The transmittal updating Medicare's enrollment policy (see story) provides you with four examples illustrating how new rules will be implemented. 

03/23/2009

Expect Medicare to crack the whip beginning April 1 on the new, restrictive enrollment policies we've been telling you about (PBN 2/16/09). The biggest impact is that the policy shortens the amount of time you can retroactively bill claims when you are enrolling a provider with Medicare.

03/23/2009

Attendees at the HIT forum sponsored by IBM and eHealth Initiative. Photo by Lia Davis of IBMThe $19 billion in health information technology (HIT) incentives found in the latest economic stimulus bill has wide-support in the medical community, but physicians still want to get more out of their electronic medical record (EMR) systems. Physicians attending a HIT forum sponsored by eHealth Initiative and IBM March 20 said EMR systems need to be more "patient-centered" and allow for an information exchange with other systems to improve quality at the point of care.

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