Part B Insider (Multispecialty) Coding Alert
PHYSICIAN NOTES:
CMS Offers Overview of the RAC Program With New Transmittal
Published on Mon Feb 16, 2009 
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Plus: NPPES system will prompt password changes this week, thanks to CMS system overhaul.
CMS Transmittal 148, dated March 6, offers updated advice on communication with RACs, points of contact, and an overview of the entire RAC process.
Plus:
The transmittal offers some insight into the RAC exclusion program, noting, "The RAC can permanently exclude an individual claim or a series of claims, or suppress a provider's entire claim submission or claim type for a period of time not to exceed one calendar year," and offers a list of cases requiring suppression or exclusion.To read the transmittal, visit www.cms.hhs.gov/transmittals/downloads/R148FM.pdf.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- OBSERVATION CODING:
Observation Stays Are on the Rise -- 4 Tips Help Code Them
Hint: Roll office visit, observation stay into one code. Physicians are admitting more patients than [...] - COMPLIANCE:
Disclose Physician Ownership of Referring Hospitals Up-Front
Both physician-owner and hospital are responsible. If your physician owns a stake in a hospital, [...] - PART B MYTHBUSTER:
Just Because CCI Doesn't 'Bundle' Procedures Doesn't Mean You Can Always Bill Them Together
Even if CCI doesn't publish edits bundling two procedures together, your practice should know which [...] - UNBUNDLING:
Get to Know These Code Pairs That You Shouldn't Report Together Under Certain Circumstances
Follow the advice on these examples and it will lead the way to reporting your [...] - READER QUESTION:
Know the Differences Between 'Mutually Exclusive' And 'Bundled' Procedures
The differences could affect your reimbursement. Question: Can you explain what the differences are between [...] - Part B Coding Coach:
3 Scenarios Help You Perfect Your Orthopedic ICD-9 Coding Skills
Tip: Let the surgeon determine whether the condition is acute vs. chronic. If you choose [...] - PHYSICIAN NOTES:
CMS Offers Overview of the RAC Program With New Transmittal
Plus: NPPES system will prompt password changes this week, thanks to CMS system overhaul. With [...] - In other news ...• You'll have to change your NPPES password after system updates taking place March 7.
The National Plan and Provider Enumeration System which houses the National Provider Identifier database will [...] - In other news ...• Starting July 7, you should begin seeing your NPI on all paperwork from the National Supplier Clearinghouse.
A Feb. 27 transmittal (CR 6314, Transmittal No. 451) from CMS instructs the NSC to [...]
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