Part B News | Part B News

Don’t skimp on the details you send with an informal review request

11/21/2016

A practice may dispute CMS’ determination that it should receive a quality pay cut in 2017, but it will need to submit at least one informal review request to CMS by Nov. 30 (see story). The review is a practice’s only chance to contest CMS’ findings.

10 tips to implement antidiscrimination grievance policy outlined in section 1557

11/21/2016

by: Marla Durben Hirsch

Be ready to comply with section 1557 of the Affordable Care Act, which prohibits discrimination, by following 10 key steps.

Determine whether you meet the low threshold for MIPS exclusion with 3 FAQs

11/21/2016

by: Julia Kyles

As part of its pick-your-pace approach to the merit-based incentive payment system (MIPS), CMS will excuse some practices from reporting in 2017. The following FAQ, based on subscriber questions, provides guidance on who meets the low-threshold requirements.

Part B News survey: Practices divided on effects of possible ACA repeal

11/21/2016

by: Richard Scott

In the run-up to what may be a year of seismic shifts in the health insurance market following a divisive election season, medical practices are projecting a potential mixed bag of outcomes should the Patient Protection and Affordable Care Act (ACA) come asunder.

Capture additional dollars with new, reworked CCM codes as CMS eases rules

11/14/2016

by: Richard Scott

Take a good look at the changing chronic care management (CCM) landscape for 2017 to capitalize on new and revised services, which include a 5% pay boost for 99490 and the introduction of three CCM-related codes.

Shared Savings ACOs get assigned beneficiaries, measure changes in fee schedule

11/14/2016

by: Roy Edroso

CMS will begin allowing prospective assignment of beneficiaries to Shared Savings accountable care organizations (ACOs), meaning practices will know which patients are assigned to them before providing care – but that probably won’t help control their quality scoring.

Medicare’s moderate sedation policy puts a wrinkle in time — and your coding

11/14/2016

by: Julia Kyles

Make sure staff — and your billing software — pick up on three new twists to moderate sedation billing when the surgeon who performs certain gastrointestinal procedures also provides the moderate sedation for patients over the age of 4.

Behavioral health integration, dementia care will pay in 2017

11/14/2016

by: Richard Scott

You’ll find a ticket to getting paid in 2017 when you wrap behavioral health services into your practice, according to the final 2017 Medicare physician fee schedule released Nov. 2.

Independent labs take big hit, but most specialties steady in final fee schedule

11/14/2016

by: Roy Edroso

Below are impacts of reimbursement changes in the final 2017 Medicare physician fee schedule by selected specialties.

Online only: Pay cuts, misvalued codes, policy changes and more in final 2017 fee schedule

11/14/2016

Use this list of payment changes, policy changes and quality reporting notes from the final 2017 Medicare physician fee schedule, released Nov. 2, to prepare your practice for 2017.

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