Part B Insider (Multispecialty) Coding Alert
You May Not Have To Cope With DME Competitive Bidding
Published on Fri Jul 14, 2006
The complicated system of competitive acquisition for durable medical equipment shouldn't apply to physicians who supply limited amounts of DME, says the Medicare Payment Advisory Commission in written comments to the Centers for Medicare & Medicaid Services. Under the bidding system, only winning bidders would be able to supply DME in a specific geographic area.
"Prohibiting physicians from supplying DME to their own patients might substantially inconvenience beneficiaries--for example, not being able to provide crutches to a beneficiary whose leg has just been placed in a cast," notes MedPAC chair Glenn Hackbarth in the June 28 letter to CMS.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- GENERAL SURGERY:
Look To Anatomy To Capture All Reimbursement For Colectomies
Don't miss out on splenic flexure, removal of internal ileum
Watch out: [...] - EVALUATION & MANAGEMENT:
Avoid Observation Denials By Using POS 22
State law may govern whether a patient is inpatient or outpatient
Coders often become confused about [...] - GENERAL SURGERY:
Colostomy, Mucofistula May Spell Extra Reimbursement
Look for language specifying how the surgeon attached colon
When is a partial colectomy not a [...] - You May Not Have To Cope With DME Competitive Bidding
The complicated system of competitive acquisition for durable medical equipment shouldn't apply to physicians who [...] - EVALUATION & MANAGEMENT:
Learn The Exceptions To History Documentation Requirements
Master the 'ED caveat' to save your physician's reimbursement
Those who can't obtain a history aren't [...] - HEARINGS:
Congress May Rescue Cancer Payments From Next Year's Shortfall
CMS called on the carpet for IVIG, oncology access problems
Oncologists, the House Ways & Means [...] - RADIOLOGY:
Don't Make A Mess Of Stent Placement Coding
Count on vessels to determine the correct number of units
If you're reporting multiple stents using [...] - PULMONOLOGY:
Reader Question--Click Your Way To Updates On Bronchodilation--And More
Use Medicare carriers' Web sites to keep you on top of code rule changes
Question: I [...] - PATHOLOGY:
Ward Off Denials Be Properly Coding A1C Monitoring
You can bill for more than 4 tests a year if the diagnosis warrants
Watch out: [...] - OPTOMETRY:
You Be The Coder--See Clearly When It Comes To Billing For Fundus Photographs
Hint: Don't let a lack of supporting documentation cloud your chances for reimbursement
Question: Optometrists often [...] - PODIATRY:
Top Tips To Avoid Common DME Denials For Cam Walkers
Keep a watchful eye for certain line item requirements
Cam walker reimbursement is a tricky task--unless [...] - OTOLARYNGOLOGY:
Clear Up Mole Removal Coding Confusion
The key to the code lies in the lesion's location
You won't find a code for [...] - CARDIOLOGY:
Make The Grade With New Welcome ECG G Codes
Perform traditional procedures, but don't code them that way
You know that patients who are new [...] - Part B Coding Coach:
Don't Miss Out On Extended-Hours Payments
Your point of service determines which 2006 CPT codes are right for you
When you offer [...] - Clip and Save:
Keep 2006 CPT Extended-Hours Code Changes At Your Fingertips
Use our handy chart to find the right code change in a flash
Special service codes [...] - PHYSICIAN NOTES:
Plastic Surgeon Should Keep Hands Off Patients' Credit Cards, Court Rules
$4,000 extra charge leads to more than $65,000 in damages
-Balance billing- led to a plastic [...]
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