The threshold formerly known as the outpatient therapy cap has increased for this year. Reminder: The Bipartisan Budget Act of 2018 replaced the therapy cap with a threshold above which claims must include the KX modifier (see Eli’s HCW, Vol. [...]
There has been an alarming rise in disability associated with speech problems in children according to a study published in the journal Pediatrics recently. In the decade from 2001-02 to 2010-11 there has been a sharp rise of 63 percent [...]
Home health agencies that furnish Part B outpatient therapy in the home may soon see therapy-related takebacks, thanks to the SMRC. Supplemental Medical Review/Specialty Contractor Strategic Health Solutions recently completed a review of claims for outpatient therapy cap services just [...]
Question: When billing for code 01967, sometimes the time is over 999 minutes. In one case, the time was 1,080 minutes. May I bill the anesthesia as: 01967 (900 minutes in the units field) plus 01967 (180 minutes in the [...]
Question: When billing for code 01967, sometimes the time is over 999 minutes. In one case, the time was 1,080 minutes. May I bill the anesthesia as: 01967 (900 mins in the units field) plus 01967 (180 mins in the [...]
Question: When billing for code 01967, sometimes the time is over 999 minutes. In one case, the time was 1,080 minutes. May I bill the anesthesia as: 01967 (900 mins in the units field) plus 01967 (180 mins in the [...]
Question: When billing for code 01967, sometimes the time is over 999 minutes. In one case, the time was 1,080 minutes. May I bill the anesthesia as: 01967 (900 mins in the units field) plus 01967 (180 mins in the [...]
Is $1.4 trillion in savings too little too late?The United States currently spends more than $2 trillion dollars every year on health care, and the price of coverage will only continue to rise. Although most industrialized countries spend eight to [...]
The OIG is telling your carriers to crack down on incorrect unbundlingThe National Correct Coding Initiative (NCCI) has been at it again with updated edits for this quarter. CCI Vol. 12.0 introduces a startling 59,080 new column 1/column 2 edits and [...]
Crack down on incorrect unbundlingThe National Correct Coding Initiative (NCCI) has been at it again with updated edits for this quarter. NCCI volume 12.0 introduces a startling 59,080 new column 1/column 2 edits and 465 new mutually exclusive edits, and [...]
