Related Stories

The X{EPSU} Modifiers Further Define Modifier 59 - 08/13/2020

Modifier 59, the distinct procedural service modifier associated with Medicare National Correct Coding Initiative edits, is one you might find confusing (many practices do). Follow these guidelines


Don’t Miss New and Revised LCDs - 08/13/2020

Take a look at these new and revised Medicare local coverage determinations (LCDs) and article updates from Novitas Solutions. Remember, Novitas will reject claims that don’t adhere to LCDs.


CMS’ 2021 Fee Schedule Proposal Could Lower Physician Pay - 08/12/2020

Payments to some physicians who treat Medicare patients would fall from 2020 levels under the Centers for Medicare & Medicaid Services’ (CMS’) proposed physician fee schedule for 2021. CMS last week released the annual draft rule, which also recommends updates to the Quality Payment Program (QPP).


Medicaid Grant Could Pay for Your HIE Connection - 08/12/2020

Have you or your practice been considering connecting your electronic health record (EHR) to a health information exchange (HIE), but keep getting hung up by the cost? Well, here’s some good news. Three public HIEs recently were awarded contracts for a Medicaid grant that could pay for you to connect to their exchanges.


Can’t Say It Enough: Document, Document, Document - 08/11/2020

When Medicare delves into claims errors, one stands out: insufficient documentation.


Practice e-Tips on Medicare - 08/10/2020

Get practice tips on all things Medicare. Learn what Medicare requires for enrollment, participation, billing, claims, coding, documentation, and more.


Texas Vaccine Registry to be Accessible Through EHRs - 06/26/2020

Texas physicians soon will have an easier time accessing and submitting vaccination records when using the Texas Immunization Registry (ImmTrac2), according to the Texas Department of State Health Services, which runs the registry.


Buying Time: Medicine’s Warnings Prompt CMS to Delay Dramatic Coding and Payment Changes - 06/23/2020

Medicine’s warnings prompt CMS to delay dramatic coding and payment changes.


How Can You Exchange Patient Data? - 06/09/2020

Health Information Exchange can be accomplished in different ways, and the needs and requirements vary by practice. While there are numerous ways to accomplish HIE, there are four types of HIE that are currently in use.


EHR Data Entry – There’s a Better Way - 06/04/2020

Electronic Health Record (EHR) data entry is a part of the job, but for most physicians it’s a chore. Not only does it take time away from your patients, it adds to the hours you spend in the office (or to the work hours you spend at home). Fortunately, many physicians have found ways to save time doing data entry.


Invoice No Longer Required for Some Medicare Claims - 06/03/2020

For certain biologicals and medications reported in Medicare Part B claims, Novitas Solutions now will allow you to enter invoice information on the claim, rather than provide the actual invoice for the services.


Use “Time, MDM” for Medicare Telehealth Coding - 06/02/2020

When coding for Medicare telehealth visits, you can use either medical decisionmaking (MDM) or time as the basis for your selection of office/outpatient evaluation and management (E&M) levels of service, the Centers for Medicare & Medicaid Services has clarified.


Running Out of Reasons: Low Payments, Hassles Leave Physicians Wondering: Why stay in Medicare? - 06/01/2020

Texas physicians who deal with Medicare’s substandard payments and world-class administrative hassles are feeling underappreciated. The latest report from the committee that advises Congress on Medicare payment policy may exacerbate that feeling. In March, the Medicare Payment Advisory Committee (MedPAC) released its annual report assessing payments to physicians, among other sectors. MedPAC recommended no changes to the 2021 Medicare physician fee schedule, meaning no increase in physician payments.  


Never, Ever Text Patient Hospital Orders - 05/12/2020

No matter how comfortable you are with texting, remember, texting patients’ hospital orders is not an acceptable practice.


Appropriate Use of Time? Medicare Rules for Advanced Imaging Orders Pose Prior-Auth Burdens - 04/09/2020

An effective way to cut down on overuse of potentially harmful imaging, or a prior authorization-esque burden on physicians who order needed tests? Texas physicians see Medicare’s “appropriate use” system for advanced imaging both ways. As of Jan. 1, physicians ordering advanced imaging tests for Medicare patients must consult an electronic portal, which evaluates whether the test meets Medicare’s own “appropriate use criteria” for whether a test should be ordered. Then when the claim is filed, physicians must document that they checked the system and its determination.  


CMS Postpones 2019 MIPS Reporting Deadline to April 30 - 03/23/2020

With a key deadline for clinicians in the Merit-Based Incentive Payment System approaching fast amid the COVID-19 pandemic, the Centers for Medicare & Medicaid Services is giving those clinicians a month of extra time to submit their data.


Medicaid Seeks Physicians for EHR Audit Appeals Panel - 03/04/2020

The Texas Health and Human Services Commission is accepting applications for its Medicaid Electronic Health Record Incentive Program Audit Ad Hoc Review Panel.


Submit 2019 QPP Data by March 31 to Avoid a 7% Medicare Payment Cut - 03/02/2020

The data submission period for Medicare’s 2019 Quality Payment Program (QPP) is under way and closes on March 31. If you haven’t started the process, now is the time to ensure your data for the Merit-Based Incentive Payment System (MIPS) is in order and submit it in time to make corrections by the deadline, if needed.


Feds Offer Strategies For Tackling EHR Burden - 02/27/2020

The federal government is hoping to give physicians a hand in managing the burdens of one of their foremost time-eaters: Electronic health records (EHRs). The U.S. Department of Health and Human Services (HHS) this week released a report titled Strategy on Reducing Regulatory and Administrative Burden Relating to the Use of Health IT and EHRs.


TPHC Praises Bill to Make State College Campuses and Offices Tobacco-Free - 02/20/2020

Statement by Eduardo Sanchez, MD, chair of the Texas Public Health Coalition and former Texas commissioner of health, in support of legislation filed to make Texas state college campuses and state agencies tobacco-free.


Reporting System Makes Documenting PMP Checks Easy - 02/19/2020

As you probably already know, beginning March 1, you’ll be required to check the Texas Prescription Monitoring Program, known as PMP Aware, any time you prescribe certain medications. To help you document those checks, PMP Aware allows you to download PDFs that you can add to a patient’s medical record.


TMA Opposes Attempts to Expand Audiologists’ Scope - 02/14/2020

Proposed federal laws that would give audiologists unlimited access to Medicare patients without a physician referral could lead to lasting, and expensive, harm to patients, medicine once again told U.S. Senate and House leadership this week.


TMA to Trump: Do Not Expand NPPs’ Scope of Practice - 02/12/2020

When President Donald Trump released an executive order earlier this month that would, in part, expand the scope of practice of nonphysician practitioners, the Texas Medical Association vowed to keep physicians at the head of the health care team. On Monday, TMA President David Fleeger, MD, took a major step to do that, urging President Trump and Health and Human Services (HHS) Secretary Alex Azar to remove that language entirely.


You May Need to Refile Some Medicare Claims - 02/03/2020

Be on the lookout for Medicare claims you’ve filed since Oct. 1 in which procedure codes failed to process, causing a rejected claim. You will need to refile these claims.


Physicians Must Lead Care Teams, Medicine Tells Feds - 01/24/2020

The Texas Medical Association, and 99 other medical societies, are making it clear to Medicare that physicians are the nation’s most highly trained health care professionals – and the government shouldn’t weaken or eliminate their supervision of nonphysicians.