Part B Insider (Multispecialty) Coding Alert
Claims Must Be NPI-Only By May, CMS Warns
May 2008 seemed like a long way off back when the Centers for Medicare & Medicaid Services (CMS) said it was delaying the original May 2007 requirement for the National Provider Identifier (NPI) for a year.
But now that May 23 deadline is looming closer, and CMS warns that you absolutely must have the NPI, and only the NPI, in all relevant fields on your claims by that date. That includes the NPI of the referring/ordering /attending/service facility provider, CMS notes in MLN Matters article MM674. Without NPIs in all fields, your claims will be denied.
Don-t furnish services to Medicare beneficiaries unless you already have the NPI of the referring provider, CMS suggests.
Separately, Noridian Administrative Services sent out a notice to providers: The Part B carrier is now verifying valid matches between the NPI and the legacy identifier on claims. If they don't match, Noridian is now denying claims, the carrier warns.
Part B Insider (Multispecialty) Coding Alert
- PART B MYTHBUSTER:
Your Audits May Be Making Your Coding Worse, Not Better
Does your auditor know the score? Find out before it's too late.
Myth: Any coder can [...] - ANESTHESIOLOGY:
Ensure Your Documentation Proves Anesthesiologist Placed A-Line
Fend off audits by looking for details of procedure
Is your documentation letting down your claims [...] - CPT 2008 REVENUE BOOSTER:
Look For Drug-Abuse Questions In E/M Notes, And Add To Your Revenue
Doctor must document time, structured questionnaire
Heads up: If a patient comes in and seems to [...] - Claims Must Be NPI-Only By May, CMS Warns
May 2008 seemed like a long way off back when the Centers for Medicare & [...] - READER QUESTIONS:
Don't Forget Modifiers For Hospice Patients
Close relationship with hospice billers helps avoid denials
Question: We keep receiving denials from Medicare because [...] - The Treating Physicians Is In The Driver's Seat For Diagnostic Tests
Heads up: Medicare will only pay for diagnostic tests when the -treating physician- or -treating [...] - CONSULT MYTHBUSTER:
4 Myths That Could Turn Your Consults Into Lower-Paying E/Ms
Look to CPT guidelines to avoid misconceptions
Are you missing out [...] - Part B Coding Coach:
Don't Let Cardiovascular Screening Missteps Hurt Your Payment Odds
1 day short of the 5-year rule? That's all it takes to get a denial
Medicare [...] - Find Out How Waived Status Can Affect Your Bottom Line
Want to bill urinalysis? Read this first
Without Clinical Laboratory Improvement Amendments (CLIA)-waived status, your practice [...] - PHYSICIAN NOTES:
Make Sure Your New MAC Is Working To Earn Its Bonuses
Republicans want to leave you hanging for 2009 payments
Say goodbye to your carriers in seven [...]
