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Since April 5, 2021, the Office of the National Coordinator for Health IT (ONC) has received 299 information blocking claim submissions through its online Report Information Blocking Portal. In a report released on Feb. 28, 2022, the ONC found that [...]
Narrow down by type of line, pump usage, and patient age. Line placements are included in the services that anesthesia providers can code – and receive reimbursement for – in addition to responsibilities included in the standard anesthesia service. There [...]
Will fewer comment letters mean fewer concessions? It’s surely no surprise to Medicare officials that home health agencies commenting on the 2020 home health payment rule are staunchly opposed to the Patient-Driven Grouping Model’s preemptive behavioral adjustment cut. But home [...]
Two surgeons mean each one will report the same code with this modifier. Here's the situation: Your gynecologist documented that he performed a transabdominal hysterectomy in conjunction with a urogynecologist who performed a bladder and/or urethral fixation for stress incontinence. [...]
Your patient may be covered for LDCT screening once per year if needed criteria are met. On Feb. 5, the Centers for Medicare & Medicaid Services (CMS) announced the National Coverage Determination (NCD) to reimburse screening for lung cancer with [...]
Plus: Don’t forget the legible signature rule. If you’re interested in billing Medicare for a patient’s lung cancer screening, you may not have a code just yet—but CMS aims to change that soon, said CMS’s Jamie Hermanson during an April [...]
Check criteria for determining most at-risk Medicare patients. Good news: For the first time ever, you can now get Medicare reimbursement for lung cancer screening. But make sure you meet these criteria before submitting the claims. On Feb. 5, the [...]
CMS takes bold step to reduce lung cancer mortality of patients. The Centers for Medicare & Medicaid Services (CMS) sprang a welcome surprise on Feb. 5 when it announced that lung cancer screenings using low dose computed tomography (LDCT) will [...]
Patients with long history of smoking can now qualify for LDCT. Although CMS usually saves its new coverage announcements for the first of the year, the agency surprised practices on Feb. 5 when it announced that Medicare would begin covering [...]
You will have to report additional codes to justify the cause of gout and its bilaterality. Come October 2015, you will be better armed to report gout disease, when you can start reporting a slew of new and more accurate [...]
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