Part B News | Editors' Blog

Questions you should ask CCM vendors before you hire them

by: Roy Edroso May 15, 2019

Is your chronic care management (CCM) vendor doing right by you? Our expert gives you a checklist of questions you should run by any vendor you're considering to provide services for your CCM program.

Patient relationship codes: CMS drops a hint about the other X modifiers

by: Julia Kyles, CPC May 13, 2019

Had you forgotten about the new patient relationship category modifiers unveiled in the 2018 Medicare physician fee schedule? CMS hasn't. The five new modifiers are still out there and still voluntary. But expect Medicare to shift to mandatory reporting of the modifiers soon as part of the cost portion of the merit-based incentive payment system (MIPS).

Beware: Fake DEA agents are scamming doctors

by: Roy Edroso May 10, 2019

Our friends at the Nelson Hardiman law firm in Los Angeles alert us to a warning the DEA sent out in March about scammers who prey, not on vulnerable seniors, but on doctors.

These 3 cases illustrate how not to bill for therapy services

by: Laura Evans, CPC May 10, 2019

In case you were thinking federal investigators would never be interested in your therapy claims, here are three practices from today's HHS OIG website that would likely disagree.

CCM CEO gets 2 for theft

by: Julia Kyles, CPC May 7, 2019

A conviction for health care fraud isn’t the only criminal penalty that awaits someone involved in Medicare fraud. Theft of government property is another possibility, a recent Department of Justice (DOJ) press release reveals.

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