Part B Insider (Multispecialty) Coding Alert
In other news
If you've ever wondered about the logic behind Medicare's overpayment recovery system, CMS finally spells it out clearly in a new brochure entitled The Medicare Overpayment Collection Process. Essentially, if your MAC finds that it overpaid you by $10.00 or more, it will initiate the overpayment recovery process, which begins with a demand letter requesting payment. If you don't respond within 30 calendar days after that letter's date, the MAC may send a second letter. If the MAC doesn't receive full payment within 40 calendar days of the first demand letter, it will recoup your overpayment from future claims that you submit. In cases where you don't pay back the overpayment and the MAC does not recoup it, the contractor can send an Intent to Refer letter indicating that it can refer the overpayment to the Department of Treasury for collection. You are eligible to rebut or appeal the demand letters, or set up a repayment plan if necessary. For details on this process, visit www.cms.gov/MLNProducts/downloads/OverpaymentBrochure508-09.pdf.
Part B Insider (Multispecialty) Coding Alert
- Part B Payment:
CMS Unveils Bundled Payments Initiative
Under the new program, physician's pay for a hospital procedure would be bundled with hospital [...] - 99211 Coding Quiz:
Can You Identify Which of These Quick-Visit Services Qualify for 99211?
Hint: You can't automatically tack 99211 on to every service just because the nurse was [...] - Know These 99211 Facts Before You Submit Your Claim
Even if you aced our 99211 quiz on page 234, it's a good idea to [...] - Part B Coding Coach:
Tighten up Your Adhesiolysis Coding Knowledge With These 5 Tips
Key: Your ob-gyn's documentation must emphasize the unusual difficulty.If you've ever coded an ob-gyn chart, [...] - Set Aside 10 CPT® Codes to Report Adhesiolysis
Although ob-gyns generally deal with lysis of adhesions in only four sites, CPT® provides ten [...] - Physician Note:
CMS Clarifies Whether You'll Report ICD-9 Codes When Dates of Service Span ICD-10 Implementation Date
Plus: Medicare explains overpayment recovery process.As most practices know, MACs will no longer accept ICD-9 [...] - In other news
If you've ever wondered about the logic behind Medicare's overpayment recovery system, CMS finally spells [...] - Reader Question:
Documentation Should Support Diagnoses
Question: Our physician circled an initial diagnosis of COPD (chronic obstructive pulmonary disease) but during [...]
