09/28/21 | CMS gives more insight into appropriate DOS for imaging

The Center for Medicare and Medicaid Services (CMS) has guidance for reporting the date of service (DOS) for various services. Information provided for global reporting, technical reporting and professional reporting


CMS gives more insight into appropriate DOS for imaging
07/01/21 | New CPT code for Subchondroplasty

Effective July 1st 2021 - the AMA released a new code for Subchondroplasties - are you ready for it

New CPT code for Subchondroplasty
03/17/20 | Telehealth regulations loosened

With the Coronavirus issues CMS has loosened the regulations and HIPAA issues that have caused concerns about when telehealth can be used. Check out the new release

Telehealth regulations loosened
01/29/20 | New Drug Delivery Codes 20700-20705

Stop using 11981-11983 as of Jan 1st 2020- Use the new drug delivery codes 20700-20705 --

New Drug Delivery Codes 20700-20705
04/04/19 | Watch your "stem cell" wording - On going FBI investigations

For those offices that are using the wording 'stem cells' or charging patients for these services you need to be aware of the FBI ongoing investigations.

Watch your
02/28/19 | Great article on the issues with 63047 and 22633 and 22630

Find out about the issues between 22633/22630 and 63047 and get the history of these codes.  Great information you can use for your private payer appeals.

Great article on the issues with 63047 and 22633 and 22630
01/02/19 | Accessing Newsletters

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Accessing Newsletters
01/02/19 | Calendar events

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Sequester law’s Medicare provider cuts wouldn't begin until April 1

February 28, 2013 by: Burt Schorr

Sequestration is set to cut big hunks of spending from hundreds of federal activities, from the Head Start program to a second carrier for the Persian Gulf, with March 1 as the start date for putting the actual reductions in motion.

But under the law requiring the sequester, the Budget Control Act of 2011, the cut in Medicare provider payments won’t kick in until April 1, an Office of Management and Budget (OMB) spokesman confirms.

Other cut details: The provider reductions will be the maximum 2% allowed by the law, an HHS spokesman says. For home health agencies, which are paid by 60-day episodes of care, the cuts “will be determined by the day of discharge. Payments for discharges on or after April 1 would be reduced by 2%,” the spokesman explains.

A 2% cut, once it begins, could be almost as devastating for the home health industry as the interim payment system (IPS), which preceded the current prospective payment system. It closed the doors of nearly one-third of agencies between 1998 and 2000, says John Reisinger, owner of Innovative Financial Solutions for Home Health in Tampa, Fla.

The nearly 12% average profit margin on Medicare patients the Medicare Payment Advisory Commission (MedPAC) predicted for freestanding agencies in 2013 exaggerates the health of many agencies because Medicare doesn’t consider some standard expenses, such as marketing and telehealth, to be allowable costs, Reisinger contends.

For more information check out www.partbnews.com