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02/08/2016

CMS says that we can claim transitional care management (TCM) codes 99495 and 99496 even if the patient goes back into the hospital during the 30-day period. Yet I have seen a presentation that says such charges will be denied. Is that so?

02/08/2016

In a comparison of average payments for 426 J-codes between 2010 and 2014, only 84 drugs did not see their payments change more than 10%.

02/01/2016
Expect substantial incentives, an increase in quality reporting and the need to hire additional staff if you decide to transition to an alternative payment model (APM), the value-based delivery mechanism that will become a formal part of the Medicare physician fee schedule in 2019.
02/01/2016
Two new E/M prolonged service codes added in the 2016 CPT manual allow you to report extended observation services provided by clinical staff in the office. However, the reimbursement is low and occasions when you would use the codes should be rare, say coding experts.
02/01/2016
Take note of the AMA’s CPT Editorial Panel revision of the code descriptors for office-based prolonged services codes 99354 (Prolonged service, first 60 minutes) and 99355 (Prolonged service, each additional 30 minutes) to include the same language on how to count time applied to newly created prolonged services codes 99415-99416.
02/01/2016
by: Stark Medical Audit and Consulting
Three auditing case studies show you how to improve your practice's charge-capture capability with a diverse set of solutions you can begin to implement today.
02/01/2016
A bipartisan bill cleared by the Senate Finance Committee in December would authorize steps intended to relieve the current backlog of denied claims awaiting administrative law judge (ALJ) hearings.
02/01/2016
Providers that most frequently bill prolonged service codes, including primary care, neurology, hematology/oncology and cardiology, should heed updated time requirements pertaining to office visits.
02/01/2016
Thank you for subscribing to Part B News! Click the "download file" link to access your premium, Your Guide to Success in Medicare Part B: Tips and Guidance from Part B News to Ensure Your Practice Thrives.
01/25/2016

You’ll likely have an easier time avoiding the 3% meaningful use penalty in 2017 with the passage of the Patient Access and Medicare Protection Act (S.2425) — but eligible professionals (EPs) must sit tight until CMS releases the precise details of the anticipated reprieve.

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