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Pain Views Blog

Summary of Potential E/M Documentation & Coding Changes Discussed in CMS 2019 Final Rule

Pain Practice Billing Performance PAIN BILLING E&M Coding

CMS proposed moving away form the current documentation guidelines to a more time-based and complexity method.

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Florida's HB21 Bill Scheduled To Go Into Effect on JULY 1, 2018

Florida's HB21 Pain EHR Schedule 2 Opioid Prescriptions

The Florida Legislature has set a limit on the amount of opioids that can be prescribed for the treatment of acute pain. This limit as set in HB21 Bill is scheduled to go into effect on July 1, 2018...

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PAIN PRACTICE BILLING PERFORMANCE – UNDERSTANDING NET COLLECTION PERCENTAGE

Pain Practice Billing Performance PAIN BILLING

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.

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MEASURING PAIN PRACTICE BILLING PERFORMANCE - A/R DAYS

Pain Practice Billing Performance Pain Practice A/R Days

Happy Thanksgiving! Don’t be a Turkey – Understand your A/R Days for better Pain practice performance...

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HAPPY HALLOWEEN - THERE IS NO "SILVER BULLET" TO MEASURE PRACTICE BILLING PERFORMANCE

Accounts Receivable Billing 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.

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Participate in MIPS/MACRA with ease - with StreamlineMD!

MIPS MACRA

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. 

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StreamlineMD’s Pain Risk Stratification Tool

Pain Management Pain Risk Stratification Pain Management Compliance

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.

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PHYSICIAN EXTENDERS - PROPER USE AND BILLING

PHYSICIAN EXTENDERS INCIDENT TO PHYSICIAN ASSISTANT NURSE PRACTITIONER NON PHYSICIAN PROVIDER

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”.

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MODERATE (CONSCIOUS) SEDATION - EXTENSIVE CHANGES FOR 2017

Moderate Sedation Conscious Sedation

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.

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QUALITY PAYMENT PROGRAM - MIPS FOR PAIN

MIPS FOR PAIN MGMT CENTERS

See our summary of the QPP MIPS program for Interventional Pain Management Centers, below...

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