Part B Insider (Multispecialty) Coding Alert
Therapy Cap Approvals Must Use Latest Form, MACs Remind
Plus: CMS puts physician's enrollment responsibility in writing. If you're submitting pre-approval requests for therapy cap exceptions, you don't want to waste time using last-year's form, Part B Mac NHIC, Corp. reminded practices in an Oct. 30 message. "Version 6.0 offers the ability to check off more than one discipline for physical therapy, speech language therapy, or occupational therapy for your pre-approval requests," the note said. Practitioners who aren't submitting pre-approvals will get a request from their MAC asking for additional documentation, NHIC noted. "As of October 17, 2012, providers identified in Phase II may now submit pre-approval requests for dates of service on or after Nov. 1, 2012 for beneficiaries over the $3,700 threshold," NHIC adds. "Please note that Phase I providers should continue to submit pre-approval requests." For more information, visit www.medicarenhic.com.
Part B Insider (Multispecialty) Coding Alert
- ICD-9 Coding:
It's Likely That Your MAC Won't Accept 'Likely' Diagnoses
Specific phrases in your physician's notes will lead you to the optimal dx.In most situations, [...] - Inpatient Coding:
Avoid These Hospital Discharge Pitfalls
Making any one of these five mistakes could cost you thousands.Even coders who have a [...] - Hospices:
Quality Reporting Burdens May Ruin Small Hospices
Hospice providers give CMS an earful on quality reporting proposals.Hospices are hoping to see a [...] - Part B Coding Coach:
77080: 3 Tips Make Bone Density Coding a Snap
Check your LCDs to see if coverage is once every 2 years.If you find tracking [...] - Physician Note:
Therapy Cap Approvals Must Use Latest Form, MACs Remind
Plus: CMS puts physician's enrollment responsibility in writing.If you're submitting pre-approval requests for therapy cap [...] - In other news…
You may have heard that physicians are responsible for the details on their enrollment applications, [...] - Reader Question:
Shoulder Revisions Comprise Multiple Steps
Question: How would you code a right reverse total shoulder arthroplasty revision to hemiarthroplasty of [...] - Reader Question:
Know When Aspiration Becomes Drainage
Question: A patient presented to the ED with a peritonsillar abscess (PTA) and underwent a [...] - Hospices Wary of 'Comfortable Dying' Details
Some patients should be excluded from this new quality reporting measure, providers tell CMS.You should [...]
