CMS: In AWV, SDOH assessment can occur days before visit; append modifier
By: Roy Edroso
A Change Request pertaining to the use of social determinants of health (SDOH) risk assessments during a Medicare annual wellness visit (AWV) stresses provider flexibility as to how they conduct the assessment. That should make it easier to handle the extra steps required.
Manage and engage remote staff with these strategies
By: HCPro staff
Revenue cycle staff are among workers in many industries that are making the shift to remote work. Although there are benefits to working from home, some managers may find themselves struggling to adapt to the changes.
Use 4 team-based care scenarios to refresh your billing knowledge
By: Julia Kyles, CPC
Medicare’s rules for incident-to and split/shared services give your practice the opportunity to gain extra revenue for a non-physician practitioner’s (NPP) work. But the chance to receive 100% of the physician payment when an NPP does all or some of the work for an encounter comes with the risk of significant pain if members of your practice, including physicians and NPPs, don’t follow the rules.
Part B News Features
Ask a Part B News Expert
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, an independent medical coding education consultant, answers some of the many questions she receives pertaining to physician coding for CPT orthopedic serv... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
A clarification to the rules for split or shared billing took effect Jan. 1, and a look back at the most-billed codes in claim year 2022 reveals the most frequent locations and types of encounters tha... More
Ask a Part B News Expert
Lynn Anderanin, CPC, CPMA, CPPM, CPC-I, COSC, an independent medical coding education consultant, answers some of the many questions she receives pertaining to physician coding for CPT orthopedic serv... More
NPP Report
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Benchmark of the Week
A clarification to the rules for split or shared billing took effect Jan. 1, and a look back at the most-billed codes in claim year 2022 reveals the most frequent locations and types of encounters tha... More
choose your feature view ► Ask Part B News & NPP Report Benchmark of the Week & Ask Part B News NPP Report & Benchmark of the Week
Part B News Blog
May 6, 2024
Legal expert gets specific on exemptions to the FTC’s noncompete rule
by: Roy Edroso
Apr 26, 2024
After FTC rule bans noncompetes, legal expert discusses impact on health care
by: Roy Edroso
Apr 10, 2024
Breaking: More than 250 new ICD-10 codes proposed for Oct. 1
by: Megan Herr and Julia Kyles, CPC
Tools
Give providers an illustrated guide to the new SDOH risk assessment code
Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).
Cultivate Medicare prolonged service rule compliance with a decision tree
Use this decision tree to illustrate Medicare’s rules for coding prolonged E/M services. Medicare created codes and rules for prolonged services performed by a physician or qualified health care professional (QHP) because it disagrees with portions of the CPT guidelines.
See more...
Benchmark of the Week
G0136 joins select group of codes cleared for use with modifier 33
A new billing policy requires that modifier 33 (Preventive services) appear with the social determinants of health (SDOH) assessment add-on code G0136 on all such claims submitted with annual wellness visits (AWV). This will mean a big change in that modifier’s utilization, which has mainly been limited to four codes (and overwhelmingly used for just one).
Subsequent hospital codes top combo with split/shared modifier
A clarification to the rules for split or shared billing took effect Jan. 1, and a look back at the most-billed codes in claim year 2022 reveals the most frequent locations and types of encounters that groups should keep a close eye on.
See more...
Learning Opportunities
VIRTUAL
Virtual Advanced Specialty Coding Virtual Summit: Orthopedics
VIRTUAL
Virtual Advanced Specialty Coding Virtual Summit: Pain Management
See more...

Login

User Name:
Password:
Forgot password
Welcome to the new Part B News Online. If you are a returning user having trouble logging in, please click here.
Back to top
Privacy Policy
|
Terms of Use
|
© 2024 DecisionHealth, a division of HCPro LLC