Plus: Skyrocketing utilization shows one reason why the industry is singled out for scrutiny. Don’t be surprised to see Medicare start putting certain diagnoses on the no-code list for hospice patients. In the rule published in the April 14 Federal [...]
Plus: For-profit hospices continue to proliferate, to CMS’ apparent chagrin. Hospices have been able to keep up with industry statistics thanks to the Medicare Payment Advisory Commission’s annual report to Congress, but Medicare’s new hospice proposed rule signals action may [...]
Highest-ranking states may surprise you. Medicare’s payment error rate for hospices and home health agencies together varies widely from state to state, shows the latest Medicare payment error report. Among the many figures included in the report is a state-by-state [...]
High claims volume doesn’t necessarily translate to high error rates. Wondering where the feds might choose to crack down next with stepped up claims review or more intense fraud and abuse-fighting activity? Stats included in the latest Medicare payment error [...]
Use G0345-G0354 for therapeutic/diagnostic injectionsFor this year only, Medicare requires that you submit HCPCS G codes when reporting IV infusions and injections - a change that you'll notice when your reimbursement drops and your National Correct Coding Initiative hassles go [...]
The latest edits could mean the difference between payment and denial The National Correct Coding Initiative edits, version 11.0, bundles new injection and infusion codes G0345-G0354 into thousands of other codes - but don't let the numbers trip you up. [...]
The first coding bundles of 2005 also tell you what you can - and can't - bill with the new ECP code Attention, coders: If you're tired of getting denials when you bill cataract removals with vitrectomies, NCCI version 11.0 [...]
Prepare to justify using E/M codes with hydration or chemotherapy.The new drug administration codes that Medicare introduced for 2005 may help physicians obtain a fair payment for their work in administering chemotherapy and other tough medications to patients. But good [...]
Prepare to justify using E/M codes with hydration or chemotherapyThe new drug administration codes that Medicare introduced for 2005 may help physicians obtain a fair payment for their work in administering chemotherapy and other tough medications to patients. But good [...]
