Part B Insider (Multispecialty) Coding Alert
CMS Releases Updated, Aggressive 5010 Timeline
Plus: Congress has yet to pass 2012 payment fix. CMS offered an early holiday gift to medical practices with the Nov. 17 announcement that it would not initiate enforcement action regarding 5010 until March 31, 2012. But even at the time, the agency did tell practices that they need to be able to prove that they're making a "good faith effort" to transition to the new data set. Now CMS puts its money where its mouth is, telling practices that they are being watched carefully--and that some practices will not actually have until March to switch to 5010. The news:
- In Dec. 2011, "submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions"
- Submitters/receivers that have not yet tested will be notified in Dec. 2011 "that they must submit their transition plan and timeline to their MAC in 30 days"
- MACs will notify the submitters/receivers; "submitters/receivers have the responsibility to notify the providers they service."
To read more about CMS's plan, visit www.cms.gov/Versions5010andD0.
Part B Insider (Multispecialty) Coding Alert
- Medicare Errors:
Providers Underbilled More Than $1 Billion to Medicare in 2010
CERT results reveal $34.3 billion in improper Medicare payments--$1.1 billion of which was underpaid.If your [...] - Part B Revenue Booster:
Collect for New Medicare Preventive Services With These 'G' Code Additions
Services became payable within the last two months, so you can begin billing MACs for [...] - Privacy:
HIPAA Audits Are Heating Up--Is Your Practice Prepared?
Contact experienced outside counsel immediately, our experts advise.Establishing HIPAA protocols isn't a one-time job. Make [...] - Pull Together Your HIPAA Audit Plan With These Pointers
It's never too late to start getting into compliance.Assemble a team: "Covered entities should be [...] - Physician Note:
CMS Releases Updated, Aggressive 5010 Timeline
Plus: Congress has yet to pass 2012 payment fix.CMS offered an early holiday gift to [...] - In other news
As 2011 comes to a close, it's clear that Congress plans to take the looming [...] - Reader Question:
Forget About Collecting for 'S' Codes From Medicare
Question: We've had increasing problems billing and being paid for the medications we use for [...] - Reader Question:
Get to Know Pecking Order for CPT® Codes
Question: I know that as a general rule the highest RVU has a higher billed [...] - Reader Question:
1 Exam Bullet May Require 3 Vitals
Question: Can you please explain how taking the vital signs contributes to determining the E/M [...]
