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.
HIPAA Q&A: Vendor risk management, reproductive health care, and telehealth
By: Julia Huddleston, CIPP/US, CIPM, CCSFP
In this issue, Part B News welcomes compliance expert Julia Huddleston, CIPP/US, CIPM, CCSFP, principal with Apgar & Associates, to answer a series of questions about HIPAA compliance areas, focusing on vendor risk management, reproductive rights and telehealth policies. The Q&A session is below.
FTC’s labor-market rule ends most noncompetes for physicians, if it clears
By: Roy Edroso
On April 24 the Federal Trade Commission (FTC) unveiled a final rule that essentially ends noncompete agreements of the sort that allow medical organizations to keep employed physicians from working for their competitors after they leave. While legal challenges from pro-business interests promise to tie the rule up for a while, it’s vital to know what the rule does and does not prohibit.
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
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.
Advance care denials dropped as utilization surpassed 2.4M claims
Practices have learned to avoid coding mistakes that trigger denials of advance care planning (ACP) services (99497-99498). The time-based services were introduced in 2015 and Medicare covered the codes in 2016.
See more...
Learning Opportunities
VIRTUAL
Virtual Advanced Specialty Coding Virtual Summit: Orthopedics
VIRTUAL
Virtual Advanced Specialty Coding Virtual Summit: Pain Management
See more...

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