Home | News & Analysis
Part B News
Top codes with POS 11 intersect little with most-reported claims
06/07/2021
by: Roy Edroso
You might expect that the most-used codes billed under place of service (POS) 11 (Office) would closely mirror the most-reported codes overall. But aside from the two most popular E/M codes, they don’t much overlap.
Did we talk? Physicians can count discussions that meet the new E/M definition
05/24/2021
by: Julia Kyles, CPC
A “discussion of management or test interpretation” can earn a moderate or high score under the data review element of an E/M office visit. But before you give the billing practitioner credit for a discussion, make sure the documentation shows that it met the definition that was added to the 2021 CPT guidelines for E/M services on March 9.
The new definition of ‘discussion’ for E/M office visits
05/24/2021
by: Julia Kyles, CPC
Share the official definition of a discussion under the new guidelines for office E/M visits (99202-99215) with practitioners and coders.
AI-backed virtual assistants offer patient-centric solutions; mind compliance
05/24/2021
by: Roy Edroso
As your practice emerges from the COVID-19 slowdown, you might consider “virtual assistants” as part of the mix of tools that can smooth patients’ return to the office and help them, along with your care teams, to make up for lost time.
Employers warned not to overreact to CDC’s latest mask guidance
05/24/2021
by: Roy Edroso
The CDC’s recent announcement that people fully vaccinated against COVID-19 can shed their masks in many settings, including indoors, no doubt came as welcome news to mask-weary workers. However, employers are warned not to relax rules too quickly.
New prior authorization bill hits House, adding Medicare Advantage plans
05/24/2021
by: Roy Edroso
A new version of a bill that would mandate faster prior authorization of services by Medicare Advantage plans has been introduced in the House and appears to have a better chance of passing than its predecessors.
OCR to practices: You’re dropping the ball on risk analysis
05/24/2021
by: Marla Durben Hirsch
It’s time for your practice to assess whether and how it conducted a security risk analysis. The HHS Office for Civil Rights (OCR) has published its latest HIPAA audit industry report, and the findings aren’t pretty.
Testing codes, marked by modifier 26, bring in scores of cash for practices
05/24/2021
by: Richard Scott
Medical practices returned reams of money on leading services that they reported with modifier 26 (Professional component), including a spate of X-ray codes, tissue exams and other testing codes.
Feds seek more vaccines at practices, but delays hamper the plan
05/17/2021
by: Roy Edroso
A number of factors are keeping COVID vaccines out of most physician practices, despite an urgent need to disseminate them. But experts believe the situation will change in due course, and practices should prepare to notify patients as soon as it does.
Don’t overlook it: History and physical exam still count for office visits
05/17/2021
by: Julia Kyles, CPC
The new E/M office visit guidelines for history and physical examinations give clinicians more freedom. They also spare coders the trouble of counting points for these portions of the patient encounter. However, coders and clinicians should work together to establish the sort of documentation that will protect patients by supporting continuity of care, maintain revenue by supporting their claims and help clinicians by keeping their workload as light as possible.
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
Learning Opportunities
See more...
Forum

The Forum is temporarily unavailable.

click icon to expand
Back to top
Privacy Policy
|
Terms of Use
|
© 2026 DecisionHealth, an HCPro Brand