Part B Insider (Multispecialty) Coding Alert
Coronavirus Policy Update:
Add These 4 Changes to Your COVID-19 Playbook
Caution: Check federal guidance for PHE-related updates daily. If you're worried about th... Read more
Add These 4 Changes to Your COVID-19 Playbook
Caution: Check federal guidance for PHE-related updates daily. If you're worried about th... Read more
Modifiers:
Boost Modifier Know-How With 12 Handy Tips
Warning: Watch out for modifier 95 slip-ups. Despite the fact that Medicare providers us... Read more
Boost Modifier Know-How With 12 Handy Tips
Warning: Watch out for modifier 95 slip-ups. Despite the fact that Medicare providers us... Read more
Part B Coding Coach:
Quell Vaccination Quandaries With Expert Insight
Know two crucial immunization coding exceptions. With much of the country in the throes ... Read more
Quell Vaccination Quandaries With Expert Insight
Know two crucial immunization coding exceptions. With much of the country in the throes ... Read more
See New Federal Guidance on Flu and COVID-19
Tip: Make safety a priority this year. Flu clinics are a hallmark of many Medicare provid... Read more
Tip: Make safety a priority this year. Flu clinics are a hallmark of many Medicare provid... Read more
Physician Notes:
OIG Ramps Up Scrutiny on COVID-19 Policies
Tip: Protect yourself with thorough documentation. Even with regulatory relief, your prac... Read more
OIG Ramps Up Scrutiny on COVID-19 Policies
Tip: Protect yourself with thorough documentation. Even with regulatory relief, your prac... Read more
Part B Reimbursement:
Feds Push Back MIPS Value Pathways to 2022
Expect more focus on APMs next year. The pandemic's impact on Medicare policy over the l... Read more
Feds Push Back MIPS Value Pathways to 2022
Expect more focus on APMs next year. The pandemic's impact on Medicare policy over the l... Read more
E/M 2021:
Add These CPT® 2021 Changes to Your E/M Checklist
Find out about new codes and descriptor revisions. There's a lot to break down and consid... Read more
Add These CPT® 2021 Changes to Your E/M Checklist
Find out about new codes and descriptor revisions. There's a lot to break down and consid... Read more
CPT® 2021 Revisions Also Affect CCM, Complex CCM
Time changes may improve coding difficulties. If you've been looking forward to chronic c... Read more
Time changes may improve coding difficulties. If you've been looking forward to chronic c... Read more
Fraud & Abuse:
Don’t Bank on the Stark Revamp Until 2021
Tip: Get your ducks in a row before the PHE ends. If you were counting on the feds... Read more
Don’t Bank on the Stark Revamp Until 2021
Tip: Get your ducks in a row before the PHE ends. If you were counting on the feds... Read more
Part B Coding Coach:
Use 3 FAQs to Master Wound Repair Coding
Tip: Understand the basics on laceration repair. Part B practices have a myriad of coding... Read more
Use 3 FAQs to Master Wound Repair Coding
Tip: Understand the basics on laceration repair. Part B practices have a myriad of coding... Read more
Physician Notes:
See New Terms for COVID-19 Loans
Congress prompts CMS to alter repayment rules. With the pandemic still hitting Medicare ... Read more
See New Terms for COVID-19 Loans
Congress prompts CMS to alter repayment rules. With the pandemic still hitting Medicare ... Read more
Part B Payment:
Fee Schedule Proposals Offer E/M Clarity, Big CF Cuts
Plus: Telehealth changes may become permanent. Part B providers have been hit hard by the... Read more
Fee Schedule Proposals Offer E/M Clarity, Big CF Cuts
Plus: Telehealth changes may become permanent. Part B providers have been hit hard by the... Read more
ICD-10-CM Coding:
Check Out Some of the 2021 Diagnosis Code Updates
Tip: Review guidelines on flu reporting. With new ICD-10-CM updates around the bend, it's... Read more
Check Out Some of the 2021 Diagnosis Code Updates
Tip: Review guidelines on flu reporting. With new ICD-10-CM updates around the bend, it's... Read more
Billing:
Navigate Unprocessable Claims With MAC Tips
Double check provider information before submitting claims. There's no denying that Medic... Read more
Navigate Unprocessable Claims With MAC Tips
Double check provider information before submitting claims. There's no denying that Medic... Read more
Part B Coding Coach:
Master Sleep Test Coding With These Quick Steps
Tip: Check out CPT® section guidelines for coding clarity. During outpatient sleep stu... Read more
Master Sleep Test Coding With These Quick Steps
Tip: Check out CPT® section guidelines for coding clarity. During outpatient sleep stu... Read more
Physician Notes:
EHR Data Points to a Telehealth Slow Down
Telehealth services are still above past averages. The feds started to offer COVID-19-ins... Read more
EHR Data Points to a Telehealth Slow Down
Telehealth services are still above past averages. The feds started to offer COVID-19-ins... Read more
Compliance:
Know These 3 COVID-19-Inspired Changes
Get ready for TPE reviews. With coronavirus spiking again across many states, you may be ... Read more
Know These 3 COVID-19-Inspired Changes
Get ready for TPE reviews. With coronavirus spiking again across many states, you may be ... Read more
Billing:
Quiz Yourself on 4 Medicare Billing Basics
Know the difference between reopenings and redeterminations. Even experienced billers can... Read more
Quiz Yourself on 4 Medicare Billing Basics
Know the difference between reopenings and redeterminations. Even experienced billers can... Read more
Clip And Save:
Boost Mobile Device Management in 5 Easy Steps
Keep BYOD rules straightforward — but realistic. Now, more than ever, providers depend ... Read more
Boost Mobile Device Management in 5 Easy Steps
Keep BYOD rules straightforward — but realistic. Now, more than ever, providers depend ... Read more
Part B Coding Coach:
Pinpoint Diagnoses for Common GI Issues
Tip: Know the nuances of appendicitis documentation. Gastrointestinal (GI) pain is one of... Read more
Pinpoint Diagnoses for Common GI Issues
Tip: Know the nuances of appendicitis documentation. Gastrointestinal (GI) pain is one of... Read more
Physician Notes:
See Details on COVID-19 Counseling Payments
Plus: Part B MAC offers insight on Accelerated Payment recoupments. If your Part B practi... Read more
See Details on COVID-19 Counseling Payments
Plus: Part B MAC offers insight on Accelerated Payment recoupments. If your Part B practi... Read more
Regulatory Relief:
Feds Focus on Lifting Providers' Burdens
Expect COVID-19 rollbacks to factor into policymaking. If you feel like the paperwork req... Read more
Feds Focus on Lifting Providers' Burdens
Expect COVID-19 rollbacks to factor into policymaking. If you feel like the paperwork req... Read more
E/M Coding:
Bolster E/M Claims With HPI Calculation Advice
Tip: Check with your payer on specifics. Your Part B practice may be in the throes of pre... Read more
Bolster E/M Claims With HPI Calculation Advice
Tip: Check with your payer on specifics. Your Part B practice may be in the throes of pre... Read more
Policy Update:
Final Rule Outlines Interoperability Changes
Prepare now for the staggered rollout. With COVID-19 dominating the healthcare news, the ... Read more
Final Rule Outlines Interoperability Changes
Prepare now for the staggered rollout. With COVID-19 dominating the healthcare news, the ... Read more
Part B Coding Coach:
Ace Debridement Coding with 4 Tips
Warning: Beware of bundling problems. Debridement of damaged tissue is common in surgical... Read more
Ace Debridement Coding with 4 Tips
Warning: Beware of bundling problems. Debridement of damaged tissue is common in surgical... Read more
Physician Notes:
Updated ABN Forms Are Required by the End of August
Plus: Medicare telehealth changes could become permanent. If you're updating your complia... Read more
Updated ABN Forms Are Required by the End of August
Plus: Medicare telehealth changes could become permanent. If you're updating your complia... Read more
Reader Question:
Find Out What Direct Supervision Entails for Incident To
Question: If our physician and nonphysician practitioner (NPP) are in contact over the pho... Read more
Find Out What Direct Supervision Entails for Incident To
Question: If our physician and nonphysician practitioner (NPP) are in contact over the pho... Read more
Telehealth Services:
MAC Offers Insight on COVID-19 Telehealth Changes
Tip: Ensure documentation includes telehealth specifics. Though your Part B practice may ... Read more
MAC Offers Insight on COVID-19 Telehealth Changes
Tip: Ensure documentation includes telehealth specifics. Though your Part B practice may ... Read more
Medicare Policy:
Get a Fix on the Latest COVID-19 Updates
Review your MAC's guidance before you submit claims. If you're trying to wrap your head a... Read more
Get a Fix on the Latest COVID-19 Updates
Review your MAC's guidance before you submit claims. If you're trying to wrap your head a... Read more
ICD-10:
Update Your COVID-19 Coding Options
Tip: Master the coding process with relevant Z codes. Despite much progress across the na... Read more
Update Your COVID-19 Coding Options
Tip: Master the coding process with relevant Z codes. Despite much progress across the na... Read more
Part B Coding Coach:
Polish Your Allergy, Immunotherapy Coding With Handy Pointers
Consider guidelines from LCDs and other key authoritative sources. Coding and billing for... Read more
Polish Your Allergy, Immunotherapy Coding With Handy Pointers
Consider guidelines from LCDs and other key authoritative sources. Coding and billing for... Read more
Physician Notes:
CMS 'Temporarily' Suspends 2% Payment Adjustment
Expect a slight bump in your Medicare reimbursement — at least through Dec. 31. As part... Read more
CMS 'Temporarily' Suspends 2% Payment Adjustment
Expect a slight bump in your Medicare reimbursement — at least through Dec. 31. As part... Read more
Reader Question:
Understand Comprehensive History Requirement Basics
Question: If I have a chief complaint, an extended history of present illness (HPI), a pro... Read more
Understand Comprehensive History Requirement Basics
Question: If I have a chief complaint, an extended history of present illness (HPI), a pro... Read more
Compliance:
See the COVID-19 Impact on Stark
Plan your post-pandemic compliance accordingly. If your Part B practice is struggling und... Read more
See the COVID-19 Impact on Stark
Plan your post-pandemic compliance accordingly. If your Part B practice is struggling und... Read more
COVID-19 Funding:
Know How COVID-19 Funding Options Differ
Tip: Review federal guidelines before you apply. As the pandemic continues to wreak hav... Read more
Know How COVID-19 Funding Options Differ
Tip: Review federal guidelines before you apply. As the pandemic continues to wreak hav... Read more
E/M 2021:
Get a Handle on E/M 2021 with 3 FAQs
Tip: Comprehensive documentation is key to claims success. With 2021 around the bend, i... Read more
Get a Handle on E/M 2021 with 3 FAQs
Tip: Comprehensive documentation is key to claims success. With 2021 around the bend, i... Read more
Quality Payment Program:
Collect MIPS Points for COVID-19 Clinical Trial Submissions
Tip: Streamline your reporting with open source tools. Though the pandemic has likely im... Read more
Collect MIPS Points for COVID-19 Clinical Trial Submissions
Tip: Streamline your reporting with open source tools. Though the pandemic has likely im... Read more
Part B Coding Coach:
Scan Fracture Notes for Presurgical E/M Services
Tip: Global period determines modifier. Orthopedic surgeons often perform a significant,... Read more
Scan Fracture Notes for Presurgical E/M Services
Tip: Global period determines modifier. Orthopedic surgeons often perform a significant,... Read more
Physician Notes:
Check Out the OIG's Daily FAQ Update
If you've got enforcement questions about financial arrangements during the time of COVID-... Read more
Check Out the OIG's Daily FAQ Update
If you've got enforcement questions about financial arrangements during the time of COVID-... Read more
Telehealth:
Feds Release New COVID-19 Telehealth Guidelines
Tip: Know the nuances of the four distinct types of virtual services. As COVID-19 reshape... Read more
Feds Release New COVID-19 Telehealth Guidelines
Tip: Know the nuances of the four distinct types of virtual services. As COVID-19 reshape... Read more
HIPAA:
Feds Scale Back HIPAA As Part of Telehealth Updates
Hint: Skype, FaceTime are now acceptable F2F encounters. With Medicare's COVID-19-inspi... Read more
Feds Scale Back HIPAA As Part of Telehealth Updates
Hint: Skype, FaceTime are now acceptable F2F encounters. With Medicare's COVID-19-inspi... Read more
Part B Coding Coach:
Understand the Specifics for Coding Virtual Check-Ins, E-Visits, and More
Tip: Know the basics on what Medicare covers. Understanding the coding dynamics at play ... Read more
Understand the Specifics for Coding Virtual Check-Ins, E-Visits, and More
Tip: Know the basics on what Medicare covers. Understanding the coding dynamics at play ... Read more
ICD-10-CM Coding:
Get the Scoop on ICD-10 Options for COVID-19 Diagnoses
Tip: Use date of service to determine code selection. Accuracy is key when you're searc... Read more
Get the Scoop on ICD-10 Options for COVID-19 Diagnoses
Tip: Use date of service to determine code selection. Accuracy is key when you're searc... Read more
Quality Payment Program:
Feds Extend MIPS 2019 Submissions' Deadline
Plus: See the extreme and uncontrollable circumstances policy update. As Part B clinici... Read more
Feds Extend MIPS 2019 Submissions' Deadline
Plus: See the extreme and uncontrollable circumstances policy update. As Part B clinici... Read more
Novel Coronavirus Update:
Address COVID-19 With These 5 Tips
Hint: Keep on top of all the updates and requirements. The Centers for Disease Cont... Read more
Address COVID-19 With These 5 Tips
Hint: Keep on top of all the updates and requirements. The Centers for Disease Cont... Read more
E/M 2021:
Prepare Now for 2021 Office Visit E/M Coding Changes
Tip: Know the details on time and MDM. Next year will be an exciting time for providers w... Read more
Prepare Now for 2021 Office Visit E/M Coding Changes
Tip: Know the details on time and MDM. Next year will be an exciting time for providers w... Read more
Part B Payments:
Boost Your Fee Schedule Smarts With These 8 Facts
Tip: Peruse the MPFS searchable database for billing questions. The feds continue to roll... Read more
Boost Your Fee Schedule Smarts With These 8 Facts
Tip: Peruse the MPFS searchable database for billing questions. The feds continue to roll... Read more
Part B Coding Coach:
Add 3 Tips to Your Modifier 78 Claims Checklist
Hint: Know the nuances between modifiers 59, 78, and 79. Choosing the correct modifier ca... Read more
Add 3 Tips to Your Modifier 78 Claims Checklist
Hint: Know the nuances between modifiers 59, 78, and 79. Choosing the correct modifier ca... Read more
Physician Notes:
Don't Delay — Send Your MIPS 2019 Data Before the March 31 Deadline
Plus: Get the details on the revised CMS-855R. If you're struggling to send your 2019 Mer... Read more
Don't Delay — Send Your MIPS 2019 Data Before the March 31 Deadline
Plus: Get the details on the revised CMS-855R. If you're struggling to send your 2019 Mer... Read more
Reader Question:
Get the Scoop on New Vaping-Related Disorder Code
Question: Our practice sees more and more patients with health issues related to vaping an... Read more
Get the Scoop on New Vaping-Related Disorder Code
Question: Our practice sees more and more patients with health issues related to vaping an... Read more
Part B Billing:
Know Billing Basics When Treating Family Members
Tip: Don't forget about medical ethics and state regs. Providers treating family members ... Read more
Know Billing Basics When Treating Family Members
Tip: Don't forget about medical ethics and state regs. Providers treating family members ... Read more
National Correct Coding Initiative:
Master NCCI PTP Edit Pair Guidelines with Expert Advice
Know how 0, 1, and 9 add up to total coding success. Maybe you're grappling with the late... Read more
Master NCCI PTP Edit Pair Guidelines with Expert Advice
Know how 0, 1, and 9 add up to total coding success. Maybe you're grappling with the late... Read more
Quality Payment Program:
Determine MIPS Eligibility With This 2020 Primer
Hint: Find out if your stats point toward MIPS exemption. Even though the Quality Payment... Read more
Determine MIPS Eligibility With This 2020 Primer
Hint: Find out if your stats point toward MIPS exemption. Even though the Quality Payment... Read more
Part B Coding Coach:
Be on Solid Footing When Coding for Plantar Fasciitis
Tip: Surgery should be the last-case scenario. Patients suffering from plantar fasciitis ... Read more
Be on Solid Footing When Coding for Plantar Fasciitis
Tip: Surgery should be the last-case scenario. Patients suffering from plantar fasciitis ... Read more
Physician Notes:
Get the Scoop on New Acupuncture Coverage
Tip: Know Medicare's restrictions to sidestep denials. If acupuncture services are on you... Read more
Get the Scoop on New Acupuncture Coverage
Tip: Know Medicare's restrictions to sidestep denials. If acupuncture services are on you... Read more
Coding Errors:
CERT Data Highlights Providers' Struggles with E/M Services
Tip: Boost your code choice with strong notes. It's no surprise that practices struggle w... Read more
CERT Data Highlights Providers' Struggles with E/M Services
Tip: Boost your code choice with strong notes. It's no surprise that practices struggle w... Read more
Improper Payment Rate:
Documentation Woes Plague Part B Practices
Hint: Check claims for accuracy before you submit in 2020. As the feds streamline the cla... Read more
Documentation Woes Plague Part B Practices
Hint: Check claims for accuracy before you submit in 2020. As the feds streamline the cla... Read more
Part B Coding Coach:
Check the Notes Before Submitting a High-Level ED Code
Keep upcoding to a minimum with this expert advice. The popular E/M code 99285 (Emergency... Read more
Check the Notes Before Submitting a High-Level ED Code
Keep upcoding to a minimum with this expert advice. The popular E/M code 99285 (Emergency... Read more
Physician Notes:
Feds Plan to Ramp Up Payment Scrutiny
Plus: CMS alerts providers to Blue Button 2.0 bug. Due in part to the skyrocketing costs ... Read more
Feds Plan to Ramp Up Payment Scrutiny
Plus: CMS alerts providers to Blue Button 2.0 bug. Due in part to the skyrocketing costs ... Read more
Reader Question:
Know These Facts on External Cause Codes
Question: After looking through the external cause codes in the ICD-10 manual, I was a lit... Read more
Know These Facts on External Cause Codes
Question: After looking through the external cause codes in the ICD-10 manual, I was a lit... Read more
Medicare Physician Fee Schedule:
Register 3 Big Fee Schedule Updates
Hint: Expect big changes to CCM, telehealth, and more. Though E/M coding and payment turn... Read more
Register 3 Big Fee Schedule Updates
Hint: Expect big changes to CCM, telehealth, and more. Though E/M coding and payment turn... Read more
E/M Coding:
Feds Follow Through on E/M Revamp
Plus: CMS plans to roll out the revisions for 2021. After years of promising to rework E/... Read more
Feds Follow Through on E/M Revamp
Plus: CMS plans to roll out the revisions for 2021. After years of promising to rework E/... Read more
Medicare Beneficiary Identifiers:
Remember, HICNs Reject Starting Jan. 1
Tip: Use Your MACs' MBI look-up tools to find patients' numbers ASAP. It's crunch time! I... Read more
Remember, HICNs Reject Starting Jan. 1
Tip: Use Your MACs' MBI look-up tools to find patients' numbers ASAP. It's crunch time! I... Read more
Part B Coding Coach:
CPT® 2020: Use New Pericardium and Aortic Graft Options Effectively
Hint: Don't report 99473 more than once per device. In less than a month, CPT® 2020 beco... Read more
CPT® 2020: Use New Pericardium and Aortic Graft Options Effectively
Hint: Don't report 99473 more than once per device. In less than a month, CPT® 2020 beco... Read more
Physician Notes:
See New Patients Over Paperwork Round-Up
Use policy updates for your 2020 planning. After months with little communication on the ... Read more
See New Patients Over Paperwork Round-Up
Use policy updates for your 2020 planning. After months with little communication on the ... Read more