Medicare Compliance & Reimbursement
Verify Diabetic Patient's BMI to Determine Eligibility for Bariatric Weight Loss Surgery
Plus: Senior Medicare Patrol project might be slowing down, but it hasn't disappeared -- and it can still cause headaches. Physicians who perform bariatric surgery procedures on diabetic patients should take note of the patient's body mass index (BMI) -- it could be your magic number in determining the patient's eligibility for Medicare payment for the surgery, according to MLN Matters article MM6419, with an implementation date of May 18. Effective for any services performed on Feb. 12 or thereafter, Medicare does not cover the following three procedures for patients with type 2 diabetes and a BMI under 35: • Open and laparoscopic Roux-en-Y gastric bypass • Laparoscopic adjustable gastric banding • Open and laparoscopic biliopancreatic diversion with duodenal switch. CMS will cover these procedures in patients who have type 2 diabetes and a BMI of 35 or higher. Visit www.cms.hhs.gov/MLNMattersArticles/dowloads/MM6419.pdf for more information.
Medicare Compliance & Reimbursement
- ICD-9 CODING :
Get Ready for 141 New ICD-9 Codes Effective Oct. 1
Some of the new codes might even help you prepare for ICD-10. If you've got [...] - RAC REVIEW :
Train Your Staff to Follow These 6 Tips and Stay a Step Ahead of RACs
Part A is moving toward running out of money -- and Part B could be at [...] - CODING COACH :
Use New Hemorrhoid Destruction Code Correctly or Miss Out on $190
Don't forget the 90-day global period on 46930. If your physician destroys internal hemorrhoids with [...] - INDUSTRY NOTES :
Verify Diabetic Patient's BMI to Determine Eligibility for Bariatric Weight Loss Surgery
Plus: Senior Medicare Patrol project might be slowing down, but it hasn't disappeared -- and it [...] - IN OTHER NEWS ...
• The Senior Medicare Patrol project may be losing momentum, but it could still cause [...] - MEDICARE FUNDS :
Medicare Trust Fund Risks Going Broke, According to New Report
Part A is moving toward running out of money -- and Part B could be at [...]
