Part B News | Part B News

New ASP drug price update shows unusual 14% overall jump

07/22/2019

The recent discussion of ways to hold down drug pricing is needed, as you can see by the latest quarterly average sales price (ASP) update issued by CMS. The ASP update shows the upper limit on prices to which providers will be allowed to add a surcharge of 6% in the 3rd quarter of 2019.

As patient debt climbs, update your billing techniques to capture payments

07/15/2019

by: Roy Edroso

As patient debt becomes an urgent issue, resist the temptation to crack down too hard and risk alienating patients. Instead, turn to technical and marketing-based solutions to get more of that money up front.

Spruce up your diagnostic testing documentation, billing watchdog urges

07/15/2019

by: Richard Scott

Watch out when reporting diagnostic services. Insufficient or missing documentation is causing practices to run afoul of Medicare requirements, and that puts you at risk of denials from your Medicare administrative contractor (MAC).

Looking at wearables? Go slow or risk drowning docs in data

07/15/2019

by: Roy Edroso

The growing reach of consumer health-monitoring devices and prospects for Medicare payment may have you looking to hook up your own patients. But it may be that getting a practical medical result from wearables isn’t that easy — at least not yet.

4 tips to enhance the experience and drive up rates of patient loyalty

07/15/2019

by: Richard Scott

Heed the latest trends and research on patient loyalty as consumerism becomes increasingly common in today’s medical practice setting. It can give you a competitive advantage in retaining patients, one of the key markers of a strong business operation.

Practices reap millions on most-billed diagnostic panels; watch the outliers

07/15/2019

by: Richard Scott

Practices that run diagnostic tests and independent labs fared pretty well with a range of panels associated with millions of dollars in revenue in recent years. But a few tests, including vitamin D and hemoglobin assays, continue to perplex the billing department.

MedPAC call to end incident-to no isolated threat – but will CMS lower the boom?

07/08/2019

by: Roy Edroso

Medical practices that use non-physician practitioners (NPPs) may have gotten a little nervous last month when the Medicare Payment Advisory Commission (MedPAC) proposed the end of incident-to billing. Whether CMS accepts the proposal or not, other signs are showing that the feds would like to get all NPP services reimbursed at 85% of the physician rate, regardless of incident-to status.

Work on your MDM, seize time-based opportunity under revised E/M rules

07/08/2019

by: Roy Edroso

With E/M documentation guidelines getting a makeover in 2021, losing history and exam as factors means it will be more important to properly document medical decision-making (MDM) and, if you bill on time, time spent in non-face-to-face services.

Sweeping E/M code, documentation changes emerge ahead of 2021 ready date

07/08/2019

by: DecisionHealth Staff

The groundbreaking E/M code changes that are on track to arrive by 2021 gained clarity after the AMA released a preview of the E/M documentation guidelines you’ll use to code office visits in 2021.

MedPAC call to end incident-to no isolated threat — but will CMS lower the boom?

07/08/2019

by: Roy Edroso

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.