Part B Insider (Multispecialty) Coding Alert
Reimbursement
Published on Fri Apr 16, 2004
If your practice provides enteral nutrition, you could be in for a nasty cut. The HHS Office of Inspector General wants deep cuts to payments for category I enteral nutrition formulas.
The OIG found in a Feb. 2 inspection report that Medicare paid 70 to 115 percent more for enteral nutrition than suppliers. Now the OIG wants the Centers for Medicare & Medicaid Services to use its "inherent reasonableness" authority to cut nutrition payments up to 15 percent per year. CMS says procedures for using that authority are still being hashed out.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- CHEMOTHERAPY:
One Carrier Pushes Defunct Code For Zevalin, Bexxar
Don't treat draft local coverage decisions as gospel
If you're using monoclonal [...] - COMPLIANCE:
CERT Slip Will Bring You OIG Attention
Don't let a non-response mar your record
If you fail to respond [...] - Reimbursement
If your practice provides enteral nutrition, you could be in for a nasty cut. The [...] - CHEMOTHERAPY:
Bill One E/M Service Before 78804 And 79403
But don't bill separately for administration of infusion
Apart from a few hold-outs most of the [...] - Compliance:
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Pacemaker Implantation Is No Longer Experimental
But renal failure no longer justifies urine culture
If your practice treats [...] - Fraud & Abuse:
Double-Dipping Could spell double trouble
If you are receiving extra contractual charges from Medicare patients outside of the usual co-pay [...] - Practice Management:
Bring Office Manager Into The Process
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2 Questions To Ask Yourself When Reporting Postoperative Infections
If you're treating Medicare and private-payer claims the same, you could forfeit $80 or more per claim - Physician Notes:
McClellan Is To Docs As Scully Was To Hospitals
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