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2018 Part B Updates: Coding Tips, Reimbursement Opportunities, and Compliance Pitfalls

As the dust settles on Performance Year 1 of the Quality Payment Program (QPP), Part B providers are heaving a sigh of relief. And, though the calculations aren’t in yet on whether Medicare’s reimbursement opus was a success, the government has already decided to reduce some MIPS requirements in 2018 and beyond.

Note: Incomplete documentation remains a top issue

Part B providers depend heavily on their evaluation and management (E/M) services to boost their income, seeing most beneficiaries through these visits. Therefore, it’s not surprising that Medicare reviewers routinely find significant but fixable errors in a large amount of E/M claims.

Our experts helps you stay on top of Medicare changes that impact your bottom line. Look at these hot topics covered in recent issues of Part B Insider:

  • Part B Policy: Bipartisan Budget Act Slims Some MIPS Requirements
  • E/M Coding: CMS Continues to Focus on E/M Problem Areas
  • Part B Payment: Know These MSP Facts to Ensure Medicare Reimbursement
  • Part B Coding Coach: ICD-10: See How 'Medical Necessity' Factors into GI Surgery Pay
  • Enforcement: Note the Major CMP Increases Under the Bipartisan Budget Act
  • Compliance: Master the Medicare Card Transition with This Advice
  • Documentation: Revise Your Medical Student E/M Documentation Policies, CMS Says
  • Targeted Probe & Educate: Use These 5 Tips to Master Part B Claims Reviews
  • Part B Coding Coach: Prepare for School, Sports, and Occupational Exams with These Codes
  • Physician Notes: Fraud and Upcoding Net MD 13 Years in Prison, Millions in Returns


Subscribe now to Part B Insider and get all the Part B coding and billing information you need!

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