Ophthalmology and Optometry Coding Alert

Reader Questions:

No Guidance on Horizon for NPPs

Question: There was recently some discussion on a professional coding listserv about a new incident-to clarification from Medicare. Do you have any info on possible changes to incident-to coding?Maine SubscriberAnswer: The good news is that CMS did recently publish 23 pages of guidance on incident-to coding. The bad news: On the very day that practices were supposed to start using the new incident-to guidelines, CMS rescinded Transmittal 87, noting that the document "will not be replaced at this time."Possible rationale: Several medical associations expressed concern about the new guidelines, saying that practices didn't have enough time to learn all of the regs' nuances in the one-month period between the transmittal's publication (May 2) and the implementation date (June 2).In a May 21 letter to CMS Acting Administrator Kerry Weems, the AMA and the Medical Group Management Association (MGMA) asked CMS to delay the transmittal's implementation and to "reconsider the administratively burdensome and costly documentation requirements" that the transmittal would have required.The rescinded transmittal is available on the CMS Web site at http://www.cms.hhs.gov.-- Advice for You Be the Coder and Reader Questions provided by Maggie M. Mac, CMM, CPC, CMSCS, consulting manager for Pershing, Yoakley and Associates in Clearwater, Fla.
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