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Part B Insider (Multispecialty) Coding Alert

CMP Reductions Signal New Direction for HIPAA Enforcement
Hint: Assess and manage risks or pay the price. In 2018, the feds set records with their ... Read more
Know the Facts on MIPS Audits
Hint: Keep detailed notes and dates for back-up. Part B providers have a lot on their pla... Read more
Implement 5 Documentation Tips to Tackle MIPS Audits Head-On
Your Merit-Based Incentive Payment System (MIPS) attestations may be airtight, but... Read more
Part B Coding Coach:
Breathe Easy with This Seasonal Allergy Coding Advice
Hint: Allergic rhinitis codes are nothing to sneeze at. What do sniffles, watery eyes, an... Read more
Reader Question:
Who Can Record a ROS? Find Out
Question: There is a debate in our office about who can record an ROS. Can you help us? C... Read more
Reader Question:
Know When It’s Ok to Write Off a Patient’s Bill
Question: We have had a few patients who don't pay their bills, even if we offer discounts... Read more
Physician Note:
Soaring Measles Outbreak Remains an Issue in 23 States
Measles — once considered eliminated in the United States — is back with a vengeance a... Read more
Physician Note:
Feds Extend Comment Period on Interoperability Proposals
Do you need more time to peruse the interoperability rule that CMS released in February? T... Read more
Physician Note:
CMS Gets in on the Podcast Craze
If you haven't heard, CMS is now offering policy highlights, thoughts, and ideas via podca... Read more
Know the 5 Levels of the Medicare Appeals Process
Hint: Reopen first, before you try for an appeal. If you find the Medicare appeals proces... Read more
E/M Coding:
Use CBR Insight to Back Up Your Claims
Tip: Turnaround E/M blunders with benchmarking numbers. If you feel like Medicare claims ... Read more
Part B Coding Coach:
Don’t Let Unlisted Procedures Impact Your Paycheck
Home in on these five details for coding success. Unlisted procedures might seem like the... Read more
Reader Question:
Master Prolonged Service Coding to Avoid Denials
Question: We have a new gastroenterologist who seems very fond of adding prolonged se... Read more
Physician Notes:
CMS Gets In on the HIPAA-Audit Game
Plus: MAC Satisfaction Indicator survey is up and running for 2019. If you weren't keen o... Read more
Boost 3-Year Rule Knowledge with This Primer
Tip: Review CPT® guidelines for best results. Choosing the right E/M code is daunting, b... Read more
Data-Sharing Issues Prompt Coordinated Proposals
CoPs may be revised to accommodate the health IT proposals. CMS has been on a health IT r... Read more
Clip & Save:
Review 5 Provider-Audit Hot Spots
Hint: E/M coding is a perennial Medicare claims audit favorite. Medicare Part B coders sh... Read more
Part B Coding Coach:
Master Sepsis Coding with This Primer
Hint: Key facts can assist with sepsis coding regulations. With annual ICD-10 changes, co... Read more
Reader Question:
Counter Consultation Catastrophes with Office and Inpatient Mastery
Question: What is the difference between an office consultation and an inpatient consultat... Read more
Physician Note:
Submit Your MIPS 2018 Data Before It’s Too Late
If you haven't submitted your Merit-Based Incentive Payment System (MIPS) data for... Read more
Physician Note:
CMS Offers New Option for Online ADR Letter Exchange
CMS's burden-reduction rodeo continues with new ways to share documentation requests. You... Read more
Targeted Probe and Educate:
Subsequent Care Coding Remains a Popular TPE Focus Area
Hint: Incorrect coding tops the denial reasons for these codes. Billing subsequent hospit... Read more
E/M Coding:
Keep Claims Clean with These 3 Tips
Know what ‘interval' means. Coding for subsequent hospital care isn't easy, and many co... Read more
Calculate Your Audit Odds with Expert Advice
Tip: Gauge your stats with Medicare utilization data. With audits on the rise, CMS remain... Read more
Part B Coding Coach:
Review These New PTP Edit Pairs
CCI 2019 adds biopsy, care management, and psych test codes to the list. With 45,727 addi... Read more
Physician Notes:
CMS Offers New Medicare Enrollment App For Physicians and NPPs
Hint: CMS promises an easier process with new form. If you thought the old Medicare Enr... Read more
Modifier 59 Case Highlights Risks of Unbundling
Organization receives $12.5 million settlement for modifier 59 abuses. Now that you've ma... Read more
Consider This Expert Advice for Modifier 59 Mastery
Ensure your documentation supports modifier 59 usage. Before you append modifier 59 (Dist... Read more
E/M Services Factor Heavily in Improper Payment Numbers
Mistakes are still in the billions, but the error rate is declining. If E/M services are ... Read more
E/M Coding:
Quell E/M History Quandaries with PFSH Basics
Tip: Review Medicare guidance for in-depth knowledge. Clear and concise documentation of ... Read more
Part B Coding Coach:
Master Oculoplastic Coding with 3 FAQs
Hint: Not all plastic surgeries are considered cosmetic. Recouping payment for surgeries ... Read more
Physician Notes:
Heed Updated MAC Advice on MBIs
Caution: Don't report HICNs and MBIs on same claim. Now that CMS has finished up its new ... Read more
Part B Payment:
CMS Overhauls QPP's Promoting Interoperability ... Again
Plus: 2015 Edition CEHRT is now a reality for 2019. If your head is spinning from all the... Read more
Recovery Audit Contractors:
RACs Zero in on Modifier 57 Usage
Study CPT® guidance for a better understanding of this tricky modifier. Not only do modi... Read more
Avoid Modifier 57 Snafus with Global Surgery Know-How
Peruse the 10-day versus 90-day global package details. A review of global surgery distin... Read more
Thoroughly Investigate Your Denials with These Expert Tips
Hint: Back up your claims with solid evidence. Maybe you've always wanted to do some priv... Read more
Part B Coding Coach:
Master Common Winter Woes with This Coding Chart
Boost your documentation with tips from the experts. During the season of giving, some of... Read more