Medicare Compliance & Reimbursement
CMS Wants Your Input
Plus: CLIA-waived status list updated CMS is eager to get feedback from physicians, providers and suppliers, but it hasn't heard from most of you yet. The third annual Medicare Contractor Provider Satisfaction Survey (MCPSS) is underway, and only 32 percent of those invited to complete the survey have done so, although CMS would like to capture a 65 percent response rate before it closes out the survey next month. CMS uses the survey to evaluate the performance of its contractors, so if you have a beef with your payer, now's the time to speak up. "The MCPSS provides contractors with greater insight into their provider communities, and allows them to make process improvements based on provider feedback," said CMS Acting Administrator Kerry Weems in a news release. CMS will share the results of the survey in July. You can use last year's results as a guideline of what type of information the survey will ask. For instance, last year's results indicated that on a six-point scale (with 1 being "not satisfied" and 6 denoting "completely satisfied"), fiscal intermediaries (FIs) averaged a satisfaction rating of 4.66, carriers rated a 4.42, and durable medical equipment (DME) contractors were scored 4.34. More information on the program is available on the CMS Web site at http://www.cms.hhs.gov/MCPSS. In Other News ... • Do you need to append modifier QW (CLIA-waived test) to pregnancy test code 81025? How about metabolic panel code 80048? CMS has updated its listing of which tests hold CLIA-waived status, which require modifier QW, and which don't (and for the record, 81025 does not require QW to attain CLIA-waived status, but 80048 does require the modifier). To read the full list of CLIA-waived lab tests, check out the new MLN Matters article MM5913 at http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5913.pdf. • CMS maintains that its competitive bidding program will be a huge advantage for Medicare beneficiaries, saving patients an average of 26 percent for some durable medical equipment, orthotics, prosthetics and supplies, according to a March 21 CMS news release. The first round of the program begins July 1 in 10 communities. For more information on the program, go online to http://www.cms.hhs.gov/CompetitiveAcqforDMEPOS.
Medicare Compliance & Reimbursement
- Compliance:
Avoid Relationships That Suggest Manufacturer Incentives
CMS cracks down on device-makers relationships with docs If your physician is on the payroll [...] - Reader Question:
Document Time Spent On Counseling
Make sure to note the ratio of total visit time to counseling time Question: One [...] - Revenue Booster:
CMS Allows Expanded Payment For At-Home INR Tests
Patients using warfarin for chronic atrial fibrillation or venous thromboembolism are covered Last week, CMS [...] - Part B Success Story:
Different Specialists May Warrant 2 Same-Day Consults
One practice reports success after deliberations with a Medicare payer If you've ever battled Medicare [...] - Medicare:
Report: Medicare Program Risks Going Broke
With Part A funding about to bottom out, Part B could be at risk as [...] - Coding Coach:
Get More Money With 2 PQRI Details
Are you in? Medicare's second reporting period began in January Thanks to PQRI's renewal, you've [...] - Coding Coach:
Append Modifiers When Measure Isn't Met
Surprise: 'No action' still counts toward PQRI total To successfully participate in the Physician Quality [...] - Industry Notes:
CMS Wants Your Input
Plus: CLIA-waived status list updated CMS is eager to get feedback from physicians, providers and [...]
