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How to use individual PQRS reporting to meet value-based modifier rules
12/16/2013
by: Karen Long
Your practice of 10 or more eligible professionals (EPs) could earn a 2% bonus under the value-based payment modifier if at least half of your EPs meet Physician Quality Reporting System (PQRS) requirements.
Some meaningful use deadlines delayed; critics worry about stage 2 readiness
12/16/2013
by: Roy Edroso
CMS plans to delay stage 3 meaningful use — but some health IT observers are disappointed that CMS isn’t going further and that providers won’t feel the benefits for a while.
Benchmark: E/M plus modifier 25 denials keep pace with E/M denials, 2011-2012
12/16/2013
by: Roy Edroso
Denials for E/M codes billed with modifier 25 (Significant, separately identifiable E/M service) went up as much as 3 percentage points in 2012 compared with 2011, according to CMS data.
Providers have more time before stage 3 meaningful use starts
12/09/2013
by: PBN staff
CMS will propose giving providers who started to attest for meaningful use in 2011 or 2012 more time -- until 2016 – in stage 2, according to a HealthIT.gov blog post.
SGR patch likely as chances of repeal dwindle in wake of final fee schedule
12/09/2013
by: Lauren C. Williams
Despite some forward movement in Congress this year, a permanent repeal of the sustainable growth rate (SGR) is unlikely to take effect before the new year, and a temporary patch instead is expected to take its place.
4 big reasons why your practice can’t ignore the Physician Quality Reporting System
12/09/2013
by: Grant Huang
It wasn’t hard to avoid payment cuts under the Physician Quality Reporting System (PQRS) in 2013 and earlier, but the program will force you to do more in 2014 or take a 2% pay cut in 2016, a Part B News analysis shows.
CMS: Some practices could miss out on new chronic care payment in 2015
12/09/2013
by: Roy Edroso
CMS left some key details hanging on its proposed chronic care code in the Medicare physician fee schedule final rule — and it also dropped hints that some practices may not be able to bill it.
 
Relaxed HPSA rules allow more rural practices to capture telehealth dollars
12/09/2013
by: Roy Edroso
CMS made some changes to telehealth requirements that will mean more money for some rural providers.
Mental health providers win under new fee schedule; labs see payment cuts
12/09/2013
by: PBN staff
Payment rates in the Medicare physician fee schedule final rule will be good news to mental health specialists but bad news for diagnostic testing facilities.
Benchmark: 5-year payment analysis shows leveling off for 99203–99205, 99213–99215
12/09/2013
by: Karen Long
Common office visit codes that had seen double-digit increases between 2009 and 2013 show negligible changes in the final 2014 Medicare physician fee schedule, a Part B News analysis shows.
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