Part B News

Medical practices similar to yours have turned to Part B News for essential resources and insights that help you expand your business and effectively manage your revenue cycle. Every week, Part B News delivers thorough coverage of Medicare Part B regulations, easy-to-understand guidance, updates on the Fee Schedule, strategies for filing claims, best practices for coding, documentation, and payments, as well as the latest updates on Congressional discussions related to healthcare and their impact on your practice.

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Articles

Generous rate increase aids MA plans - but will it h...

4 days ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso |Betty Hovey

After a lean year under the Biden administration, Medicare Advantage (MA) plans got a big payday in the 2026 final MA rate notice. There’s good news for them in a recent final rule, too. You must log in to view the content you requested. Not a subscriber?
Skin deep: Accurately code, document skin lesion exc...

1 week ago | pbn.decisionhealth.com | Julia Kyles |Betty Hovey |Roy Edroso

Gain a detailed overview of coding guidelines for excisions and repairs to ensure that you correctly report these procedures. You must log in to view the content you requested. Not a subscriber? Start accessing the article you’re seeking right away plus weekly, physician practice-specific news, analysis, guidance and specific tools that enable your practice to stay compliant and profitable during times of increased regulatory scrutiny.
Nearly 500 new ICD-10-CM codes proposed for Oct. 1

1 week ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso |Betty Hovey

The proposed ICD-10 code changes — released with the FY2026 Hospital Inpatient PPS (IPPS) proposed rule on April 11 — include a new code for type 2 diabetes mellitus in remission, more than 100 new codes to capture non-pressure chronic ulcers in various stages as well as new codes for malignant inflammatory neoplasms. You must log in to view the content you requested. Not a subscriber?
Short-term closing? To-do list includes emails to pa...

1 week ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

In case your practice suffers a temporary closure due to an accident or emergency, have on hand a list of the parties you will need to contact and the questions you will need to ask. You must log in to view the content you requested. Not a subscriber?
Switching to concierge? Don’t short-change existing ...

1 week ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

Question: I’m thinking of transitioning my practice to a membership concierge model, but I suspect many of my current insured patients will object. Would I have to worry about getting sued or sanctioned? You must log in to view the content you requested. Not a subscriber?
CMS assigned an absolute edit to most new CPT codes

2 weeks ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

To prevent denials of your claims for new CPT codes, share the final piece of the latest National Correct Coding Initiative (NCCI) update with your team. You must log in to view the content you requested. Not a subscriber?
Lab tests score poorly on CERT; use protocols, EHR t...

2 weeks ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

The latest CERT report shows that you may be skating on lab orders that could get taken back upon post-payment review — mainly because of documentation errors. Take a few simple steps to make sure your claims are clean. You must log in to view the content you requested. Not a subscriber?
HHS cuts 20,000 employees, closes and combines depar...

2 weeks ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

HHS has announced the dismissal of 10,000 employees Department-wide, which takes the official number of cashiered employees so far to about 20,000. You must log in to view the content you requested. Not a subscriber?
Sharpen audio-only E/M visit documentation and coding

3 weeks ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

Audio-only telehealth visits are still relevant thanks to another extension of audio-only services from Congress and private payer adoption. Below you will find two recent questions about how to report audio-only visits to private payers. Remember that telehealth coding is an evolving topic; you should watch the plans your practice accepts for new and revised guidance throughout the year. You must log in to view the content you requested.
Congress delays telehealth decision; services open t...

3 weeks ago | pbn.decisionhealth.com | Julia Kyles |Roy Edroso

You can continue to provide telehealth services to patients in all geographic locations until Sept. 30, 2025, thanks to another extension passed by Congress. You must log in to view the content you requested. Not a subscriber?