Medicare Compliance & Reimbursement
Start Billing For Diabetes Self-Management Training
Medicare will cover 10 hours of initial self-management training for a patient diagnosed with diabetes, and another two hours per year after that, according to Transmittal 1158 (CR 5433). You should bill using G0108 or G0109 with Type of Bill 73X.
In other recent transmittals:
· Don't use Category III code 0091T for lumbar artificial disk replacement (LADR) starting Jan. 1. Instead, you should be using new CPT code 22857, according to Transmittal 1164 (CR 5462).
· If your zip code falls into more than one "payment locality," you'll have to start submitting nine-digit zip codes on your claims starting Oct. 1, 2007. Otherwise, you could be facing denials or delays in payment, warns Transmittal 1167 (CR 5208).
In some cases, the five-digit zip code may mislead your carrier into believing your service happened in a different county.
· Starting Jan. 1, your carrier will apply a 25-percent copayment to colorectal screenings in the ambulatory surgical center (ASC) setting, says Transmittal 1160 (CR 5387).
Medicare Compliance & Reimbursement
- PHYSICIANS:
Warning--Use 77 Modifier And Make Sure Your Diagnosis Codes Are Different
Crackdown may hit your subspecialty consults extra hard.
Heads up: You may be seeing a wave [...] - BILLING:
Why You Should Benchmark Your Denials
Check by payor, site procedure code and other factors.
Are you keeping track of your denials? [...] - TRANSMITTALS:
Start Billing For Diabetes Self-Management Training
Bonus: Use this code for lumbar artificial disk replacement.
Medicare will cover 10 hours of initial [...] - CARDIOLOGY:
Medicare Dashes Coumadin Clinics' Hope For Reimbursement
Stick with 85610 and 99211 for Coumadin management.
Providers were excited when CPT 2007 introduced two [...] - HEALTH IT:
EHRs Might Hold The Key to Cancer, Diabetes And Other Diseases
New databases make it possible to hold virtual clinical studies.
The Department of Health and Human [...] - SPECIAL REPORT:
New Plan To Reduce Health Care Costs Focuses On Increases In Health Care Outlays
Is $1.4 trillion in savings too little too late?
The United States currently spends more than [...] - FRAUD & ABUSE:
Miami Providers Beware--The Feds Have Their Eyes On You
Investigators find millions of dollars worth of improper Medicare payments.
Miami appears to be ground zero [...] - INDUSTRY NOTES:
Fed Chairman Urges Steep Medicare Cuts
Plus: Quality guidelines paid off for chronic patients.
The right time to start slashing Medicare spending [...]
