Oncology & Hematology Coding Alert
Aim to Use NPI ASAP
Question: I-m confused about the NPI deadlines. Is there a decision about when we must use NPIs yet? Answer: If your providers have NPIs and you have the NPIs of referring providers, you should be reporting them on your electronic claims.
Utah Subscriber
In May, CMS will assess how many providers are submitting claims with NPIs. If the ratio is high enough, it will start requiring NPIs from all primary providers in July, says MLN Matters article MM5595. If the ratio isn't yet high enough, the agency will reassess in June for an August implementation.
-As soon as the number of claims submitted with an NPI for primary providers - is determined sufficient - Medicare will begin rejecting claims that do not contain an NPI for primary providers,- CMS says.
Primary providers for NPI purposes are -billing, pay-to and rendering providers,- CMS says.
You don't have to furnish referring physicians- NPIs on claims until May 2008. Providers can include -secondary- providers- legacy numbers, including UPINs, on Medicare claims until that date.
Resource: The MLN Matters article is at www.cms.hhs.gov/MLNMattersArticles/downloads/MM5595.pdf.
Oncology & Hematology Coding Alert
- Tackle the Top-3 ICD-9 Oncology Changes Before the Oct. 1 Deadline Hits
Tried-and-true tactics get your doctor's documentation on board with these more specific codes You-re in [...] - Clip and Save:
Size Up ICD-9 2008 Oncology Codes at a Glance
Red alert: Grace periods are in the past -- prep now for the Oct. 1 [...] - Quiz:
Try Your Skills Across the Oncology Coding Spectrum
Discover where your strengths lie with these 5 questions Oncology coding requires you to be [...] - You Be the Coder:
Will You Avoid This Infusion Pitfall?
Question: What CPT infusion codes should I report for a 150-minute Rituximab infusion? How many [...] - Reader Questions:
Catch Up on Latest Clinical Trial Changes
Question: What diagnosis codes should I report for a Medicare patient in a qualifying diagnostic [...] - Reader Questions:
Aim to Use NPI ASAP
Question: I-m confused about the NPI deadlines. Is there a decision about when we must [...] - Quiz Answers:
Try Your Skills Across the Oncology Coding Spectrum
How did you do? Find out below. 1. Procedure status: Status A means -Active code.- [...] - Reader Questions:
Nix Treatment Plan Code for Nuclear Medicine
Question: Should I report a clinical treatment plan code for a strontium injection?
Washington Subscriber Answer: [...] - Reader Questions:
Watch Bundle With Ommaya Admin
Question: Can we code fluid aspiration for testing when we administer methotrexate through an Ommaya [...] - Reader Questions:
Forget FB When Hospital Supplies Drug
Question: We recently received a provider claim communication saying the modifier we used was not [...] - Clarification
“Steer Clear of This Tempting IMRT Coding Trap,” in the April 2007 issue, reported Erin [...]
