Part B Insider (Multispecialty) Coding Alert
In other news…
Don't submit a hospice claim with one of these diagnoses, unless your documentation thoroughly backs it up -- Debility, Alzheimer's disease, and Chronic Airway Obstructions. Medicare Administrative Contractor CGS is continuing a widespread review of hospice claims with these diagnoses, it says on its website. In a probe review that ran from October 2011 through March 2012, CGS denied most claims for failing to show the terminal prognosis or for certifications that were missing, incomplete or not timely, the MAC says. Hospices also failed to submit documentation at all in response to the ADR. Reminder:
Part B Insider (Multispecialty) Coding Alert
- CPT® 2013:
AMA Offers Sneak Peek at Upcoming Vaccine Coding Changes
If your payer is denying 90718, you should appeal through the end of the year. [...] - Part B Errors:
Assigning the Wrong E/M Code to Your Claims? You're Not Alone, CMS Says
Joint replacements, pacemakers also log high error rates. Would your practice be comfortable with a [...] - Preventive Services:
Document Time Spent on Preventive Services, Despite No CMS Directive to Do So
Plus: Don't forget modifier 25 when reporting preventive services with E/M. CMS introduced quite a [...] - E/M Coding:
Calculate Medical Decision-Making With These Quick Tips
Hint: The \"if this, then that\" notes are key when determining level of risk. Selecting [...] - Part B Coding Coach:
Nail Down Strapping Reimbursement With 3 Quick Tips
In many cases, you can bill an E/M code along with strapping. Strapping might seem [...] - Physician Note:
CMS Vastly Improves PECOS System
Plus: Avoid these diagnoses on your hospice claims to quell denials. As most Part B [...] - In other news…
Don't submit a hospice claim with one of these diagnoses, unless your documentation thoroughly backs [...]
