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09/21/2015

Increasing utilization and low denial rates for some non-physician practitioners (NPPs) stand out in a Part B News analysis of E/M codes in the newest 2014 claims data — and should be of interest to practices looking to expand their clinical staff.

09/21/2015

Individual providers and group practices facing a 2% payment penalty in 2016 for not meeting Physician Quality Reporting System (PQRS) requirements may ask CMS for an informal review of their reporting data to see whether corrections could wipe out the penalty.

09/21/2015

Make sure your patients have neither a positive colonoscopy in their records nor a family history of colon cancer to clear any barriers to getting paid for the Medicare-covered at-home stool test that you can run every three years.

09/21/2015

The experience of one of the more successful accountable care organizations (ACOs) in CMS’ recent report suggests that it pays for an ACO to invest heavily in extensive provider networks and in tools to support them — and if you can’t afford that, you should consider a less ambitious pay-for-performance model first.

09/21/2015

Most denial rates for office E/M codes (99201-99215) were flat from 2013 to 2014, with three exceptions.Code 99211 had denial rates that jumped from 11% to 14%, 99201 increased from 31% to 33% and 99203 went from 10% to 11%, according to the latest Medicare claims data.

09/21/2015
From the Sept. 14 Part B News.
09/14/2015
Most states’ workers’ compensation claims will switch to requiring ICD-10 diagnosis codes at the same time Medicare does — but in some states, the situation is more complicated and you’ll have to contact your comp carriers.
09/14/2015

Create a safe-storage plan for your meaningful use records and carve out a long-term strategy to withstand a federal audit so your practice can keep those hard-earned incentive dollars.

09/14/2015

You’re closer to knowing what CMS has in store for meaningful use stages 2 and 3 now that, as of press time, the Office of Management and Budget has those rules under review.

09/14/2015

Use this checklist as a guide to plan ahead and understand which documentation you may need to produce if you're audited for meaningful use.

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