Home | News & Analysis
Part B News
10/07/2010

This week's question is answered by Regan Bode, CPC, CPC-H, CPMA, CEMC, ACS-EM, content manager for DecisionHealth and consultant for DecisionHealth Professional Services.

Q.  We have some debate in our office on when we can bill the lab handling code, 99000. Can we bill this any time we package up materials for the lab, or must we actually be the ones to take the specimen to the lab in order to utilize the code?

10/07/2010

Summary: This chart shows 10 codes that saw some of the fastest growth in Medicare utilization from 2008 to 2009, based on the latest CMS claims data. NOTE: Codes billed less than 100,000 times annually were excluded from analysis.

10/07/2010

Your chances of scoring up to $44,000 in per-provider electronic health record (EHR) bonuses could be a lot better with the help of a regional extension center (REC). A complete roster of 62 federally funded RECs have been assigned by the HHS Office of the National Coordinator for Health Information Technology (ONC), giving every practice in the country the option to get REC help.

10/07/2010

Look for a CMS letter warning you to obtain accreditation for advanced imaging services or forgo thousands of dollars in reimbursements in 2012. Then act fast; don't get caught in a crush of providers trying to earn accreditation before the Jan. 1, 2012, deadline.

10/07/2010

For all the talk about price transparency in health care, many private payers still won't show you their fee schedules even when you're a participating physician practice. This puts you in a terrible position. Without the fee schedule, you don't know whether fees are adequate or whether to negotiate for additional payment. You also don't know how much you'll get paid each time you submit a claim - the amount can vary on different claims for the same service.

10/07/2010

Your claims for high-level new patient visits could be delayed up to 60 days - the maximum period CMS allows - if a prepayment edit being instituted by Highmark Medicare Services spreads to other Medicare Administrative Contractor (MAC) jurisdictions.

10/07/2010

You're less than two months away from a 23% cut to your Medicare payments. And, you'll need to rely on a lame-duck session of Congress to fix the payment formula. The House and Senate members don't return until after mid-term elections in November.

10/07/2010

Your E/M coding and any bonuses you earn via the Electronic Health Record (EHR) Incentive Program will be subject to close scrutiny by the HHS Office of Inspector General (OIG) next year, according to its just-released 2011 work plan.

10/07/2010

Use this table of all 62 regional extension centers (RECs) to find the one operating in your state. HHS officials have said it's up to practices to research their local REC and find out what services are being offered. Remember: A REC is a federally funded organizations being paid by the federal government to help a certain number of primary care providers implement electronic health record (EHR) systems and use those systems to achieve meaningful use.

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