Part B News | Editors' Blog

MedPAC unveils new value-based model plan for post-acute care

by: Roy Edroso Mar 24, 2022

Value-based model watchers may be interested in an outline in the new MedPAC report, required by the Consolidate Appropriations Act of 2021, for a proposed value-based program for a post-acute care value incentive program, aka PAC-VIP.

CMS makes hundreds of CCI edit fixes in mid-quarter update

by: Laura Evans, CPC Feb 21, 2022

CMS made an unscheduled mid-quarter update to the NCCI procedure-to-procedure (CCI PTP) claims edits, retroactive to Jan. 1. Here's what changed.

How are payers treating modifier FT? Make a prediction

by: Julia Kyles, CPC Jan 19, 2022

Private payers are issuing policies for modifier FT (Unrelated evaluation and management (E/M) visit during a postoperative period, or on the same day as a procedure or another E/M visit. [Report when an E/M visit is furnished within the global period but is unrelated, or when one or more additional E/M visits furnished on the same day are unrelated]).

Can you guess how they're interpreting the modifier?

CMS clarifies modifier FT rules for critical care services

by: Julia Kyles, CPC Dec 15, 2021

First impressions can be deceiving. The descriptor for modifier FT is a prime example.

Provider breaks in Congress: Sequestration delayed, cut to 1%; PAYGO delay saves another 4%

by: Roy Edroso Dec 10, 2021

Good news for providers still reeling from the nearly 4% conversion factor cut in the recent Physician Fee Schedule\: a bill passed in the Senate on Dec. 9 is expected to avert 5% in further cuts.

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