Part B Insider (Multispecialty) Coding Alert
In other news
Looking forward to the day when you can sign into PECOS on your physician's behalf using your own login information to update information? That day may be coming sooner than you think. The PECOS surrogate program is on the horizon, CMS reps confirmed last week. "We are actively working on it," said CMS's Zabeen Chong during CMS's March 6 open door forum. "Currently we have a tentative go-live date of May, so as we have more information we will be passing that along," she said. The specifics of the surrogate program are not yet confirmed, but keep an eye on the Insider for information as the projected May date nears. An extension to therapy cap exceptions until Dec. 31 is now law. Part of the Middle Class Tax Relief and Job Creation Act of 2012 containing the so-called "doc fix" extended the therapy cap exceptions process. President Obama signed the legislation into law Feb. 22. Practitioners furnishing Part B outpatient therapy must "submit the KX modifier on their therapy claims, when an exception to the cap is requested for medically necessary services furnished through December 31, 2012," CMS reminds providers.
Part B Insider (Multispecialty) Coding Alert
- Billing:
CMS to Institute Payment Edits for E/M Services During Global
When RACs find massive errors, MACs listen.Starting this July, modifiers will be more important than [...] - PQRS:
Physicians Urged to Find Workaround After MACs Deny Hypertension PQRS Measure 235
After April, Medicare will count this measure toward PQRS once more.If collecting a PQRS bonus [...] - Incident-To:
Check Out These Four Essentials Before Filing an Incident-to Claim
Heads up: Skip these items and you'll be in the OIG's hot seat. Your physician [...] - Part B Coding Coach:
11640-11646 Demystified: Can You Conquer These Excision Coding Scenarios?
Referrals, unexpected findings, and multiple excisions -- check out these case studies to learn how the [...] - Physician Note:
Sleep Medicine to Get Its Own Specialty Code in April, CMS Says
Plus: PECOS surrogate program to go live this spring.Billing Medicare for subspecialists can be problematic [...] - In other news
Looking forward to the day when you can sign into PECOS on your physician's behalf [...] - Reader Question:
Pathology Findings Lead Dx
Question: Our pathologist examined a biopsy from a screening colonoscopy that the physician performed because [...] - Reader Question:
Keep Tobacco-Use Cessation Counseling Criteria in Mind
Question: How do we bill for counseling for smoking cessation? If so, what codes are [...] - Reader Question:
707.21 May Describe Complete Pressure Ulcer Dx
Question: An established elderly patient reported to our physician for inspection of sores on her [...]
