In October 2017, we began our review of Measuring Practice Billing Performance, and explained that there is no “silver bullet”, or single measure, that assesses overall performance, but rather a series of key measures to understand and monitor monthly. These measures include, but are not limited to: Accounts Receivable (A/R) balance, A/R Days Outstanding, Net Collection Percentage, and % of A/R greater than 120 days old. In this issue, we will review the calculation and meaning of Net Collection Percentage.
Happy Thanksgiving! Don’t be a Turkey – Understand your A/R Days for better Pain practice performance...
BOO! Determining the overall performance of your billing operations is a scary task. Unfortunately, there is no “silver bullet” to slay (answer) this “Werewolf” of a question.
There is a great deal of consternation amongst physician practices as it relates to MIPS/MACRA. While it is certainly complex and confusing, understanding the requirements and participating wholeheartedly may prove to be a real opportunity to increase reimbursement in a material way.
StreamlineMD has introduced a new tool for Pain Risk Stratification. This tool helps our pain management physicians/practices to manage their patients utilizing different pain risk levels.
While CMS rules regarding billing for physician extenders, including Physician Assistants (PA) and Nurse Practitioners (NP) and other Non-Physician Providers (NPP), have been published and consistent for several years, it is common to find practices that do not know or follow them. The purpose of this letter is to simplify the rules to help keep practices in compliance with CMS guidelines. This letter specifically covers rules for billing for an extender that is enrolled with CMS versus not enrolled, and when it’s appropriate to bill the extender as “Incident to”.
Currently, for most of the interventional procedures you perform, reimbursement for moderate sedation is bundled into the procedure code, but that will soon change. For dates of service on or after January 1, 2017, reimbursement for the procedure and the moderate sedation will be separated.
See our summary of the QPP MIPS program for Interventional Pain Management Centers, below...
On October 14, 2016, CMS finalizes the new Medicare Quality Payment Program which includes MIPS and APM.
Effective January 1, 2017, the American Medical Association is adding and deleting certain codes related to Pain Management procedures...