Oncology & Hematology Coding Alert
Prepare for 'UHC Meets CCI'
Question: I-ve heard that I-m going to have to start changing some of the codes that I bill to United-Healthcare because they-re changing their policies. Is that true? New Jersey Subscriber Answer: To some degree that may be true. In July, UnitedHealthcare (UHC) announced it would be implementing a new reimbursement policy. The carrier planned to begin following all of CMS- Correct Coding Initiative (CCI) edits in November. "These edits, which follow correct coding guidelines established by CMS, will supplement edits currently administered under UHC's reimbursement policies, including the Rebundling Policy," UHC told its providers. New date: UHC had to bump its original implementation date, and the new edits were rescheduled to take effect in December. According to UHC, until the carrier's system updates with the new edits, your reimbursement will continue to follow the past reimbursement policy. The new policy, once in effect, will apply to any services you report using the CMS-1500 form and its electronic equivalent.
Oncology & Hematology Coding Alert
- CCI 14.0:
Apply a Host of New Needle Placement Procedure Bundles
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Doctors Get Happy New Year With 0.5 Percent Pay Raise
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New MLN Matters article reminds coders to ditch 2007's mid-year replacement codes Myth: You should [...] - You Be the Coder:
Blood Draw and Port Flush
Question: If a patient sees the physician and the physician bills for a blood draw [...] - Reader Questions:
Use Modifier GD With Caution
Question: If our clinic can show medical necessity for multiple units of a single procedure [...] - Reader Questions:
Prepare for 'UHC Meets CCI'
Question: I-ve heard that I-m going to have to start changing some of the codes [...] - Reader Questions:
Include PICC Removal in E/M
Question: Is there a code for pulling/removing a PICC line in the office? This is [...] - Reader Questions:
New Doctor May Bring Established Patients
Question: We have a new oncologist who is coming over from a nearby county, so [...] - Reader Questions:
Complete ROS Requires Double-Digit Reviews
Question: What is the difference between problem-pertinent, extended and complete review of systems (ROS) on [...] - Reader Questions:
Choosing Initial Infusion Type
Question: A patient presents for chemotherapy treatment. The oncologist performs a 30-minute antibiotic infusion, then [...]
