Medicare Compliance & Reimbursement
Use This Insight to Bill for N95 Masks
Question: One safety measure our practice has implemented during the COVID-19 pandemic is providing N95 masks to patients during their visits. What CPT® or HCPCS Level II code can we bill for these masks along with the follow-up visits? Illinois Subscriber Answer: The current HCPCS Level II code book does not include a specific code for N95 masks. The manual does include code A4928 (Surgical mask, per 20), but that only applies to masks that you purchase in bulk for use by your own staff during procedures — not masks that you will be billing to patients. One potential option is T5999 (Supply, not otherwise specified). Payers always want comprehensive explanations of why you might report an unlisted or “not otherwise specified” code, so be sure to include that with the claim. You might also benefit from talking with the Medicare Administrative Contractor (MAC) in your jurisdiction beforehand to ask for their guidance.
Medicare Compliance & Reimbursement
- Regulatory Relief:
New Office Boosts Feds' Administrative Relief Efforts
COVID-19 rollbacks, interoperability updates factor into policies. If you feel overwhelmed by the amount of [...] - Billing Quiz:
Check Your Medicare Smarts With These Pointers
Tip: Consider utilizing an MSP questionnaire. Navigating Medicare claims can be tricky even for the [...] - Reimbursement:
Know These Important Details on the New PPP Law
See interim final rule clarifications on bonus and hazard pay. Sifting through all the COVID-19 [...] - Reader Questions:
Expect 2019 MIPS Adjustments in the Near Future
Question: We submitted our 2019 Merit-Based Incentive Payment System (MIPS) performance data months ago. When will [...] - Reader Questions:
Use This Insight to Bill for N95 Masks
Question: One safety measure our practice has implemented during the COVID-19 pandemic is providing N95 masks [...] - Industry Notes:
Watch Out for Phone Scammers Posing as OIG
A recent scam alert suggests that you should be extra cautious of giving your personal [...] - Industry Notes:
Nursing Home Patients Allege CARES Act Payment Theft
Many patients residing in nursing homes have received CARES Act stimulus checks — and shockingly, [...] - Industry Notes:
Get Ready for Updated ABN Forms in August
If you’re updating your compliance protocols, you may want to add the updated Advance Beneficiary [...]
