Part B News | Part B News

Changes to incentive programs proposed by CMS for 2014; pay cut not specified

07/15/2013

You’re going to have to wait a bit longer to determine exactly how much of a pay cut you potentially face in 2014 — and, if history is any indication, potentially longer than that to figure out whether Congress plans to address the cut with a permanent remedy or another one-time correction.

CMS proposes to add complex care coordination codes in 2015, sets steep requirements

07/15/2013

by: Roy Edroso

You may receive payment from new codes for complex chronic care management services starting in 2015, but CMS isn’t saying how much it will be yet — and the proposed requirements appear steep, including arranging patient access to 24/7 care and possibly designating the practice as a medical home.

Practices could use telehealth in place of face-to-face visit for TCM codes

07/15/2013

by: Karen Long

Practices might not have to ensure patients visit their offices within seven or 14 days of hospital discharge to bill transitional care management (TCM) codes if CMS finalizes a piece of the proposed 2014 physician fee schedule.

Smaller practices could earn value-based bonuses, and more from rule

07/15/2013

by: PBN staff

Several of CMS’ ideas in the proposed 2014 Medicare physician fee schedule could affect your practice. Here are more of the notable proposals from the rule, many of which Part B News will cover in more detail in the weeks ahead.

More proposed 2014 Medicare physician fee schedule coverage

07/15/2013

by: PBN staff

Several of CMS’ ideas in the proposed 2014 Medicare physician fee schedule could affect your practice. This is a continuation of coverage started in the print version of Part B News.

Benchmark: Impact of proposed fee schedule on 2014 payments for selected procedures

07/15/2013

by: Part B News staff

Use this benchmark to see how your practice's reimbursement will be affected when it comes to certain procedures.

Proposed 2014 Medicare physician fee schedule

07/15/2013

Breaking news: Proposals step around pay cut, offer payment for chronic care management

07/10/2013

by: PBN staff

First, the bad news – CMS stepped around giving a specific proposed cut to the fee schedule but noted that its most recent estimates suggest you are facing a 24.4% cut to fees next year unless Congress changes the physician payment formula. The agency does propose changes to quality reporting under both the Physician Quality Reporting System (PQRS) and electronic health record (EHR) incentive programs as part of its proposed fee schedule for 2014, released late July 8.

Streamline TCM coding to earn as much as $90 more for care coordination

07/03/2013

by: Jennifer Clampet

Take advantage of new revenue opportunities for transitional care management (TCM) (99495 and 99496) by creating a streamlined process for accurately documenting and coding the required services.

TCM workflow checklist

07/03/2013

by: Jennifer Clampet

Create a workflow process to keep track of your transitional care management (TCM) services to avoid claim denials and capture new revenue.

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