Medicare Compliance & Reimbursement
Here's Help For Your Modifier JW Rejections
Plus: CMS offers quick primer on billing/coding services performed in ambulatory surgical centers. National Government Services, a Part B payer in 25 states, announced on Feb. 3 that its system was inappropriately rejecting claims appended with modifier JW (Drug amount discarded/not administered to any patient). "The JWmodifier was inappropriately hitting our system with a termination date of December 31, 2008," the notice said. "MCS is being updated to remove that termination date. Once the system is corrected we will identify the claims that were rejected inappropriately. Those claims will then be adjudicated to process properly." Codes affected by the edit included J0000-J9999,Q3025, Q3026, Q4079, and Q9955-Q9957.
Medicare Compliance & Reimbursement
- PART B REVENUE BOOSTER:
Recognize Incident-to Services Or Pay The Price
Hint: Doctor's schedule will be the key. Under incident-to rules, qualified nonphysician practitioners (NPPs) can [...] - CLIP & SAVE:
Let This Tool Make The Incident-To Decisions For You
Follow the flow chart to determine when incident-to services are billable. Suppose your nonphysician practitioner [...] - COMPLIANCE:
6Ways To Stay Out Of The Compliance Hot Seat
How carefully do you listen to your employees' complaints? Whistleblower lawsuits like the recently unsealed [...] - READER QUESTION; Differentiate Glaucoma Patient Coding Rules Based on Whether SNF Is Involved
If the patient comes to your practice from a skilled nursing facility, consolidated billing rules [...] - REIMBURSEMENT:
Understand The Appeals Ropes To Save Your Hard-Earned Reimbursement
Dollars matter the higher in the appeals process you go. Medicare has shaken up its [...] - CODING COACH:
Use These 3 Easy Tips for Headache-Related Nerve Blocks
Correct 64400 and 64405 coding helps ensure payment. If your practice is looking to add [...] - INDUSTRY NOTES:
Here's Help For Your Modifier JW Rejections
Plus: CMS offers quick primer on billing/coding services performed in ambulatory surgical centers. You may [...] - IN OTHER NEWS ...• Need a quick primer on how to appropriately report your ambulatory surgical center (ASC) services?
CMS provides a lot of information in a new brief fact sheet about ASC billing. [...] - IN OTHER NEWS ...• Suppliers' hopes for significant reform to competitive bidding are hanging on an order from the Obama administration.
As is customary with incoming presidential administrations, White House Chief of Staff Rahm Emanuel issued [...] - IN OTHER NEWS ...• CMS has extended for three years a demonstration project for disease management of chronically ill,high-cost Medicare beneficiaries.
CMS awarded the extensions to Key to Better Health, a division of Village Health in [...]
