Part B News | Part B News

Latest report on the appeal backlog indicates no solution is yet in sight

05/11/2015

The latest Senate Finance Committee look at the still-growing backlog of disputed Medicare claims denials showed that Congress is well aware of the problem for providers — and also has divergent opinions about how to fund the hearing magistrates and additional administrative law judges (ALJs) needed to shrink the pending cases.

NP, PA claims skyrocket in 5 years; E/Ms, injections most common

05/11/2015

by: Roy Edroso

The increase in claims attributed to physician assistants (PAs) and nurse practitioners (NPs) by more than double is noteworthy, especially considering that these providers’ efforts are often hidden in incident-to claims.

HIPAA authorization forms

05/11/2015

by: Richard Scott

Tailor these authorization forms to use in your practice and ensure you’re compliant in your use of protected health information (PHI).

Use telehealth to complement your revenue stream as coverage widens

05/04/2015

by: Richard Scott

Lay the foundation for a telehealth service within your office now so you can take advantage of additional revenue opportunities that are coming down the pike with states and the federal government loosening longstanding payment restrictions.

8 tips for choosing a debt collections agency, using it compliantly

05/04/2015

by: Marla Durben Hirsch

Know who is collecting debt from patients on your practice’s behalf to avoid being on the hook for a collections agency’s bad behavior.

5 questions about workload, culture to answer before adding PAs, NPs

05/04/2015

by: Roy Edroso

Along with a financial analysis, evaluate whether your practice has the right mix of procedures, patients and physician attitude when you consider taking on nurse practitioners (NPs) or physician assistants (PAs).

Take immediate steps to protect your practice from costly ransomware attacks

05/04/2015

by: Joshua Poltilove

A recent cyberattack on a private duty agency should serve as a reminder to conduct regular system backups and take other steps to protect your practice from ransomware, a new trend in hacking.

E/M visits, psych consults top list of services using telehealth

05/04/2015

by: Richard Scott

You can provide 74 distinct services via telehealth in calendar year 2015 and get paid for them, which marks a 10% boost in the number of telehealth services Medicare now covers compared with 2014.

SGR repeal a benefit but H.R. 2’s cost, reporting provisions cause concern

04/27/2015

by: Richard Scott

Count the repeal of the sustainable growth rate (SGR) payment formula as a win for physicians but be wary of the financial impact that other parts of the Medicare Access and CHIP Reauthorization Act of 2015 (H.R. 2) will have on your practice.

H.R. 2 eases gainsharing programs between docs, hospitals

04/27/2015

by: Richard Scott

Your practice can collaborate more easily with an acute care facility without the threat of a large fine now that “medical necessity” is included in gainsharing rules.

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