Skip Navigation LinksHome | Editors' Blog
CMS has called on providers to solve problematic balance billing issues for patients enrolled in the qualified Medicare beneficiary (QMB) program, yet a key part of the puzzle -- identifying a patient's coinsurance deductible amounts -- appears to be plaguing certain payers.
 

Face the facts about your patient-facing status, MIPS-eligible clinicians. CMS has released the list of the 5,702 codes that qualify as patient-facing services and procedures in 2018.

It's a familiar scenario: A provider is accused of letting unqualified, improperly supervised employees perform services and billing for their work. It is a scenario we associate with small practices, not a large health system with multiple locations and — one assumes — a robust compliance policy.

According to an email from WPS GHA, some practices forgot to take a very important step at the start of the year -- and the omission could be costing them money.

One of the experts who talk about how providers catch the pay for performance wave in our current issue of Part B News is skeptical that smaller practices have the resources to fulfill value-based contracts.

Login

User Name:
Password:
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Blog Archive
Back to top