Part B News | Part B News

Doc made a bad tweet? Before disciplining, consider possible legal comebacks

12/04/2023

Two physicians’ recent social media reactions to the Israel-Gaza conflict, and their fallout, serve as a reminder that First Amendment defenses don’t always override contract terms. But when they do, it can mean legal trouble for employers.

Primary care management surged with switch to CPT codes

12/04/2023

by: Julia Kyles, CPC

Primary care management (PCM) services, the care management service for patients with one high-risk and complex, chronic illness, experienced a massive boost the year the codes migrated from the HCPCS to the CPT code set.

Office visits: No CMS shift on split/ shared billing, prolonged visit code

11/20/2023

by: Julia Kyles, CPC

It’s official: CMS will not allow split or shared billing for E/M office visits next year. In addition, CMS will not change prolonged visit code G2212 in response to the updated descriptors for office/other outpatient visits (99202-99205 and 99212-99215).

Direct primary care remains a slow build, but big players are interested

11/20/2023

by: Roy Edroso

While interest in the direct primary care (DPC) model of patient-pay physician practice remains keen, evidence of its adoption and efficacy is elusive, suggesting the decision to switch from a traditional insurance model is a highly personal one.

CMS streamlines diabetes prevention program, adds dental, and more

11/20/2023

by: Roy Edroso

The final 2024 Medicare physician fee schedule brings a bevy of new services and modifies current policies and coverage options. Find all the latest updates to prepare for a successful 2024, with revised policies and additions below.

OIG issues Advisory Opinion No. 23-07

11/20/2023

by: HCPro staff

On October 13, the OIG published an Advisory Opinion regarding a proposed arrangement where an employer proposed to pay a bonus to its employed physicians based on net profits derived from certain procedures performed by the physicians.

CMS releases Final Decision Memo

11/20/2023

by: HCPro Staff

On October 11, CMS published a Final Decision Memo regarding the reconsideration of NCD 20.7 for Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting.

Behavioral health care management code tops E/M gainers: 2024 PFS

11/20/2023

by: Richard Scott

The conversion factor may be pulling down fees in 2024, but some codes are bucking the trend. In some instances, CMS decided to recast the relative value units (RVU) tied to non-facility payments, and fees are jumping.

CMS maintains rate cuts in 2024, sticking with -3.4% CF cut

11/13/2023

by: Richard Scott

The conversion factor (CF) cuts that CMS floated earlier in the year are now confirmed — and heightened. Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024.\

CMS set to debut add-on visit-complexity code G2211 in 2024

11/13/2023

by: Richard Scott

You can now fully prepare for the launch of the long-anticipated and much-disputed add-on code G2211 (Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient’s single, serious condition or a complex condition).

Login

User Name:
Password:
Remember me Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.