Part B Insider (Multispecialty) Coding Alert
E/M Coding:
Heed This Expert Insight to Correctly Code for Time
Compare these auditor red flags with your practice's processes. Even for the most seasone... Read more
Heed This Expert Insight to Correctly Code for Time
Compare these auditor red flags with your practice's processes. Even for the most seasone... Read more
Revenue Booster:
Boost Your Health IT Checklist With These 10 Resources
See how each agency factors into the HIT equation. Navigating the regulatory waters of h... Read more
Boost Your Health IT Checklist With These 10 Resources
See how each agency factors into the HIT equation. Navigating the regulatory waters of h... Read more
Part B Coding Coach:
Ease the Suffering With This Low Back Pain Coding Primer
Hint: Review ICD-10 guidance on coding back injuries. If you find coding low back pain ch... Read more
Ease the Suffering With This Low Back Pain Coding Primer
Hint: Review ICD-10 guidance on coding back injuries. If you find coding low back pain ch... Read more
Physician Notes:
‘Scope of Practice’ Questions on the Rise, Part B MAC Says
Tip: Check LCDs, NCDs, and medical board guidance, too. If your practice is confused abo... Read more
‘Scope of Practice’ Questions on the Rise, Part B MAC Says
Tip: Check LCDs, NCDs, and medical board guidance, too. If your practice is confused abo... Read more
Reader Questions:
Feds Offer 2022-2023 Preferred Flu Vaccine Guidance
Question: Why did the Centers for Disease Control and Prevention (CDC) recommend specific ... Read more
Feds Offer 2022-2023 Preferred Flu Vaccine Guidance
Question: Why did the Centers for Disease Control and Prevention (CDC) recommend specific ... Read more
Reader Questions:
Boost Chart Compliance with These Amendment Tips
Question: One of our physicians made mistakes on several charts and printed out new docume... Read more
Boost Chart Compliance with These Amendment Tips
Question: One of our physicians made mistakes on several charts and printed out new docume... Read more
Quality Payment Program:
Get a Grip on MIPS Proposals for 2023
CMS plans a slow rollout for MVPs. If last year's finalized overhaul of the Merit-Based I... Read more
Get a Grip on MIPS Proposals for 2023
CMS plans a slow rollout for MVPs. If last year's finalized overhaul of the Merit-Based I... Read more
CPT® 2023:
Get Ready for Revamped Office/Outpatient Consultations Codes in 2023
Factor in updated descriptions as well as using MDM versus time. You can get ahead of the... Read more
Get Ready for Revamped Office/Outpatient Consultations Codes in 2023
Factor in updated descriptions as well as using MDM versus time. You can get ahead of the... Read more
Part B Coding Coach:
Cut Duplicate Claims With This Expert Insight
Tip: Review the basics on repeat modifiers to decrease denials. If Medicare denials are p... Read more
Cut Duplicate Claims With This Expert Insight
Tip: Review the basics on repeat modifiers to decrease denials. If Medicare denials are p... Read more
Physician Notes:
Know the Facts on Medicare Provider Enrollment and Revalidations
As the healthcare industry continues to reinstate policies as COVID cases ebb and flow, yo... Read more
Know the Facts on Medicare Provider Enrollment and Revalidations
As the healthcare industry continues to reinstate policies as COVID cases ebb and flow, yo... Read more
Physician Notes:
Pocket These Critical Details on the Accelerated Payment Recoupment Process
If you intend to submit a debt dispute over COVID-19 Accelerated and Advance Payment (CAAP... Read more
Pocket These Critical Details on the Accelerated Payment Recoupment Process
If you intend to submit a debt dispute over COVID-19 Accelerated and Advance Payment (CAAP... Read more
Physician Notes:
Feds Open MIPS 2021 Targeted Review Window
If your MIPS data, final score, or payment adjustment for the 2021 performance year doesn'... Read more
Feds Open MIPS 2021 Targeted Review Window
If your MIPS data, final score, or payment adjustment for the 2021 performance year doesn'... Read more
Reader Questions:
Check Out the Rules on Extended Repayment Schedules
Question: Our Part B practice made a major billing error that resulted in a massive o... Read more
Check Out the Rules on Extended Repayment Schedules
Question: Our Part B practice made a major billing error that resulted in a massive o... Read more
Reader Questions:
Understand the Right of Access Provision to Avoid HIPAA Issues
Question: One of our patients has a sizable balance and hasn't responded to requests... Read more
Understand the Right of Access Provision to Avoid HIPAA Issues
Question: One of our patients has a sizable balance and hasn't responded to requests... Read more
Part B Payment:
Don’t Expect Any CF Boost in 2023
CMS plans to decrease the conversion factor next year. The combination of COVID and infla... Read more
Don’t Expect Any CF Boost in 2023
CMS plans to decrease the conversion factor next year. The combination of COVID and infla... Read more
Medicare Physician Fee Schedule:
Here Are 4 Proposals on the Table for CY 2023
Telehealth, E/M, mental health are major talking points in the MPFS proposed rule. As th... Read more
Here Are 4 Proposals on the Table for CY 2023
Telehealth, E/M, mental health are major talking points in the MPFS proposed rule. As th... Read more
ICD-10 Coding:
Review These New SDoH Code Updates Available Oct. 1
Plus: Understand noncompliance code revisions, too. Among the recently released ICD-10-C... Read more
Review These New SDoH Code Updates Available Oct. 1
Plus: Understand noncompliance code revisions, too. Among the recently released ICD-10-C... Read more
PART B Coding Coach:
Bolster E/M Coding With This 25/57 Advice
Established patient + new problem? Don't assume billable E/M service. There's no denying... Read more
Bolster E/M Coding With This 25/57 Advice
Established patient + new problem? Don't assume billable E/M service. There's no denying... Read more
Reader Question:
Take Advantage of CBRs to Improve Part B Billing
Question: Our primary care practice has seen an uptick in denials of our Part B claim... Read more
Take Advantage of CBRs to Improve Part B Billing
Question: Our primary care practice has seen an uptick in denials of our Part B claim... Read more
Reimbursement:
Pocket This Primer on Medicare’s Rules for Foot Care
Reminder: Review CMS' guidance on systemic conditions. Aging beneficiaries may frequent y... Read more
Pocket This Primer on Medicare’s Rules for Foot Care
Reminder: Review CMS' guidance on systemic conditions. Aging beneficiaries may frequent y... Read more
E/M Coding:
Factor in This Coding Advice When Determining Prolonged Services
Hint: The difference between the two codes comes down to one word. If you are still flumm... Read more
Factor in This Coding Advice When Determining Prolonged Services
Hint: The difference between the two codes comes down to one word. If you are still flumm... Read more
Part B Coding Coach:
Keep Cool With These Heat-Related Encounter Coding Tips
Tip: Comorbidities can help you accurately assess MDM. With temperatures rising, you may... Read more
Keep Cool With These Heat-Related Encounter Coding Tips
Tip: Comorbidities can help you accurately assess MDM. With temperatures rising, you may... Read more
Physician Notes:
Know the Essentials on ICD-10 2023
The World Health Organization (WHO) has released its list of ICD-10 additions, deletions, ... Read more
Know the Essentials on ICD-10 2023
The World Health Organization (WHO) has released its list of ICD-10 additions, deletions, ... Read more
Physician Notes:
Check Your MIPS 2021 Final Scores During the Preview Period
Now is the time to review your Merit-Based Incentive Payment System (MIPS) final s... Read more
Check Your MIPS 2021 Final Scores During the Preview Period
Now is the time to review your Merit-Based Incentive Payment System (MIPS) final s... Read more
Physician Notes:
PRF Reporting Period 3 Is Now Open
If you received more than $10,000 in HHS Provider Relief Fund (PRF) payments for either th... Read more
PRF Reporting Period 3 Is Now Open
If you received more than $10,000 in HHS Provider Relief Fund (PRF) payments for either th... Read more
Substitute Physicians:
Know the Facts on Medicare’s Locum Tenens Update
Hint: Review the new policy and name change. Now is a good time to plan for summer breaks... Read more
Know the Facts on Medicare’s Locum Tenens Update
Hint: Review the new policy and name change. Now is a good time to plan for summer breaks... Read more
Telehealth Services & COVID-19:
Check Out This Expert Advice on the COVID PHE and Telehealth
Understand how to correctly use the various modifiers. With new COVID-19 variants causin... Read more
Check Out This Expert Advice on the COVID PHE and Telehealth
Understand how to correctly use the various modifiers. With new COVID-19 variants causin... Read more
Part B Coding Coach:
Corner Constipation Encounters With This Coding Insight
Boost your coding prowess with complex condition knowledge. Frequent constipation resul... Read more
Corner Constipation Encounters With This Coding Insight
Boost your coding prowess with complex condition knowledge. Frequent constipation resul... Read more
Reader Questions:
Consider These Tips When Listing Beneficiaries’ Conditions
Question: We find the Medicare billing process a bit confusing and aren't sure what t... Read more
Consider These Tips When Listing Beneficiaries’ Conditions
Question: We find the Medicare billing process a bit confusing and aren't sure what t... Read more
Reader Questions:
Bolster Pre-Op E/M Coding With These Steps
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
Bolster Pre-Op E/M Coding With These Steps
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
Reader Questions:
Include HIPAA Training for All Staff
Question: We occasionally hire temporary workers and student interns at our thriving ... Read more
Include HIPAA Training for All Staff
Question: We occasionally hire temporary workers and student interns at our thriving ... Read more
Compliance:
Boost CERT ADR Prowess With This Insight
Be aware of the nuances between CERT and other claims review programs. If you're fuzzy on... Read more
Boost CERT ADR Prowess With This Insight
Be aware of the nuances between CERT and other claims review programs. If you're fuzzy on... Read more
E/M Coding:
Master the Fundamentals on Coding 99211
Tip: Understand the rules on incident-to services. Back in 2021, office/outpatient evalua... Read more
Master the Fundamentals on Coding 99211
Tip: Understand the rules on incident-to services. Back in 2021, office/outpatient evalua... Read more
Clip And Save:
Don’t Forget About State Privacy Regulations
Warning: Federal and state laws may differ significantly. If your Part B practice is in a... Read more
Don’t Forget About State Privacy Regulations
Warning: Federal and state laws may differ significantly. If your Part B practice is in a... Read more
Part B Coding Coach:
ICD-10: Review 3 Scenarios to Strengthen Your Sequencing Smarts
Tip: Crosscheck the ICD-10 guidelines and notes. Correct sequencing of ICD-10 codes can b... Read more
ICD-10: Review 3 Scenarios to Strengthen Your Sequencing Smarts
Tip: Crosscheck the ICD-10 guidelines and notes. Correct sequencing of ICD-10 codes can b... Read more
Physician Notes:
CMS Offers New Update on Cost Category for MIPS 2021
COVID's impact continues to reshape quality programs. The Centers for Medicare & Medi... Read more
CMS Offers New Update on Cost Category for MIPS 2021
COVID's impact continues to reshape quality programs. The Centers for Medicare & Medi... Read more
Part B Payments:
Boost 2022 Coding and Billing Caliber With 6 Top Tips
MAC reps can help — but not with code selection. If you've been preoccupied by the stea... Read more
Boost 2022 Coding and Billing Caliber With 6 Top Tips
MAC reps can help — but not with code selection. If you've been preoccupied by the stea... Read more
Telehealth Policy:
Feds Offer Providers Hope With Latest Telehealth Extension
But: Know the expansion is likely not permanent. Many Part B practices were able to stay... Read more
Feds Offer Providers Hope With Latest Telehealth Extension
But: Know the expansion is likely not permanent. Many Part B practices were able to stay... Read more
Modifier:
Augment E/M Smarts With These 3 Steps
Find out what equals ‘separately identifiable.' If your Part B practice reports a separ... Read more
Augment E/M Smarts With These 3 Steps
Find out what equals ‘separately identifiable.' If your Part B practice reports a separ... Read more
Part B Coding Coach:
Pocket This Primer on Abdominal Pain Coding
Hint: Review ICD-10 guidelines for enhanced knowledge. There are 27 different codes in th... Read more
Pocket This Primer on Abdominal Pain Coding
Hint: Review ICD-10 guidelines for enhanced knowledge. There are 27 different codes in th... Read more
Physician Note:
HHS Distributes 4th Round of PRF Payments
The feds recently announced another update on Provider Relief Fund (PRF) payments, and the... Read more
HHS Distributes 4th Round of PRF Payments
The feds recently announced another update on Provider Relief Fund (PRF) payments, and the... Read more
Policy:
Register These Latest No Surprises Act Updates
CMS offers state regulation insight about implementation and enforcement. With health equ... Read more
Register These Latest No Surprises Act Updates
CMS offers state regulation insight about implementation and enforcement. With health equ... Read more
HIPAA:
Don’t Skimp On Cybersecurity, Feds Advise
With data incidents continuing to spike, ensure compliance is stellar. Data security in h... Read more
Don’t Skimp On Cybersecurity, Feds Advise
With data incidents continuing to spike, ensure compliance is stellar. Data security in h... Read more
Prolonged Services:
Boost Non-Face-to-Face Service Claims With Comprehensive Documentation
Tip: Know the specifics on provider/patient communication. Chart reviews and data analys... Read more
Boost Non-Face-to-Face Service Claims With Comprehensive Documentation
Tip: Know the specifics on provider/patient communication. Chart reviews and data analys... Read more
Part B Coding Coach:
Bolster Reflux Testing Coding With These Top Tips
Remember to factor time when choosing the correct code. When a provider performs impedan... Read more
Bolster Reflux Testing Coding With These Top Tips
Remember to factor time when choosing the correct code. When a provider performs impedan... Read more
Physician Notes:
CMS Updates MVP Resource Offerings
Get a head start on preparing for MVPs in PY 2023. If your Part B practice is worried abo... Read more
CMS Updates MVP Resource Offerings
Get a head start on preparing for MVPs in PY 2023. If your Part B practice is worried abo... Read more
Reader Question:
Tackle Global Days Quandaries With This Handy Chart
Question: At our Part B practice, we often need to understand the global days of a pr... Read more
Tackle Global Days Quandaries With This Handy Chart
Question: At our Part B practice, we often need to understand the global days of a pr... Read more
Reimbursement:
Sidestep Denials With 4 MUE Facts
Boost Medicare claims with medically unlikely edit know-how. If your Part B practice kee... Read more
Sidestep Denials With 4 MUE Facts
Boost Medicare claims with medically unlikely edit know-how. If your Part B practice kee... Read more
Medicare Appeals:
Boost Appeals Success With 3 Expert Tips
Hint: Understand the ‘why' of the appeal. When you're a Medicare Part B provider, you'... Read more
Boost Appeals Success With 3 Expert Tips
Hint: Understand the ‘why' of the appeal. When you're a Medicare Part B provider, you'... Read more
Part B Coding Coach:
Master Partial Services Coding With This Modifier Advice
Get the scoop on post-op care coding. Occasionally, a provider can only perform a portio... Read more
Master Partial Services Coding With This Modifier Advice
Get the scoop on post-op care coding. Occasionally, a provider can only perform a portio... Read more
Physician Notes:
CDC Releases New Diagnosis Code Options for Vaccination Status
If a patient presents to your practice and is unvaccinated for COVID-19 — or even partia... Read more
CDC Releases New Diagnosis Code Options for Vaccination Status
If a patient presents to your practice and is unvaccinated for COVID-19 — or even partia... Read more
Physician Notes:
MIPS 2021 Data Submission Window Is Open
If you've got your Merit-Based Incentive Payment System (MIPS) performance year (P... Read more
MIPS 2021 Data Submission Window Is Open
If you've got your Merit-Based Incentive Payment System (MIPS) performance year (P... Read more
Physician Notes:
PRF Reporting Period 2 Is Now Open for Business
The next round of Provider Relief Fund (PRF) reporting has arrived — are you ready to su... Read more
PRF Reporting Period 2 Is Now Open for Business
The next round of Provider Relief Fund (PRF) reporting has arrived — are you ready to su... Read more
Reader Question:
Bypass Medicare AWV Blunders With Handy Insight
Question: There are nuances in Medicare Part B billing that still confuse me — and... Read more
Bypass Medicare AWV Blunders With Handy Insight
Question: There are nuances in Medicare Part B billing that still confuse me — and... Read more
Compliance:
CERT Report: Insufficient Documentation Remains a Thorn in Providers’ Sides
Beef up your notes to sidestep issues. Seasoned coders do their best to ensure that claim... Read more
CERT Report: Insufficient Documentation Remains a Thorn in Providers’ Sides
Beef up your notes to sidestep issues. Seasoned coders do their best to ensure that claim... Read more
Compare Your State’s Error Rate Numbers to Others
Size and scope often factor into the statistics. Error rate benchmarking is tricky. Large... Read more
Size and scope often factor into the statistics. Error rate benchmarking is tricky. Large... Read more
Audits:
Know Your Audit Targets Ahead of Time to Improve Results
Tip: Don't forget to check your MAC's LCDs. Audits allow you to keep your Medicare practi... Read more
Know Your Audit Targets Ahead of Time to Improve Results
Tip: Don't forget to check your MAC's LCDs. Audits allow you to keep your Medicare practi... Read more
Part B Coding Coach:
Orthopedics: Bolster Closure Coding With These Expert Tips
Here's how the definition of complex repair changed recently. Though broken bones, torn ... Read more
Orthopedics: Bolster Closure Coding With These Expert Tips
Here's how the definition of complex repair changed recently. Though broken bones, torn ... Read more
Physician Notes:
Feds Adjust 2022 Conversion Factor By 3%
Congress offers help to circumvent CAA update. With the Omicron variant wreaking havoc, P... Read more
Feds Adjust 2022 Conversion Factor By 3%
Congress offers help to circumvent CAA update. With the Omicron variant wreaking havoc, P... Read more
Reader Question:
Boost Medicare Reimbursement Understanding With These Coding Tips
Question: I've heard conflicting views on what's more critical to include on Medicare... Read more
Boost Medicare Reimbursement Understanding With These Coding Tips
Question: I've heard conflicting views on what's more critical to include on Medicare... Read more
Part B Payment:
Register These Top 5 Fee Schedule Changes
Telehealth, split/shared updates bring good news to 2022. As COVID-19 maintains its grip... Read more
Register These Top 5 Fee Schedule Changes
Telehealth, split/shared updates bring good news to 2022. As COVID-19 maintains its grip... Read more
Reimbursement:
Feds Follow Through on CF Cuts in 2022 MPFS
Health equity-related policies are one bright spot. A Medicare payment boost may not be i... Read more
Feds Follow Through on CF Cuts in 2022 MPFS
Health equity-related policies are one bright spot. A Medicare payment boost may not be i... Read more
Part B Coding Coach:
Boost Depression Dx With These Coding Tips
Stellar provider documentation will help with code choices. Part B providers are on the ... Read more
Boost Depression Dx With These Coding Tips
Stellar provider documentation will help with code choices. Part B providers are on the ... Read more
Physician Notes:
Part B Premiums Are Going Up for 2022
With Medicare policy changes coming out weekly, you're probably used to fielding daily que... Read more
Part B Premiums Are Going Up for 2022
With Medicare policy changes coming out weekly, you're probably used to fielding daily que... Read more
Physician Notes:
Pocket MAC Advice on Correct CS Modifier Usage
If modifier CS (Cost-sharing waived for specified covid-19 testing-related services that r... Read more
Pocket MAC Advice on Correct CS Modifier Usage
If modifier CS (Cost-sharing waived for specified covid-19 testing-related services that r... Read more
Reader Questions:
Understand the Nuances of Coding for Chronic Diseases With Exacerbation
Question: Please settle this debate. One of our providers is saying that we should a... Read more
Understand the Nuances of Coding for Chronic Diseases With Exacerbation
Question: Please settle this debate. One of our providers is saying that we should a... Read more
Reader Questions:
Know the Facts on These Telehealth Codes
Question: With flu season in full swing and the COVID numbers slated to go bac... Read more
Know the Facts on These Telehealth Codes
Question: With flu season in full swing and the COVID numbers slated to go bac... Read more