Find out if batching requirements are too strict. On Dec. 23, 2022, the Centers for Medicare & Medicaid Services (CMS) issued an amendment to the calendar year (CY) 2023 fee guidance for the Federal independent dispute resolution (IDR) process of [...]
Find out where your code usage fits into the stats. If you worry that your claims aren’t on par with other practices, you’re not alone. Comparative Billing Reports (CBRs) allow you to check your numbers, ensuring your practice claims are [...]
The following House bills were introduced: H.R. 1301. A bill to amend title XVIII of the Social Security Act to provide payment to Medicare ambulance suppliers of the full costs of providing such services. Introduced March 17 by Rep. Amo [...]
Long-term care providers may be able to help stave off glaucoma in residents with elevated eye pressure. Researchers have discovered that eye drops can help delay--and possibly prevent--people at high risk for glaucoma from developing the sight-stealing disease that is [...]
Don't touch these suspended claims. Your wait for your corrected prospective payment system claims may be longer than you thought. All three regional home health intermediaries have initiated the claims adjustments for the errors the PPS claims system made starting [...]
Question: Can I report 63655 twice with a bilateral modifier when my physician performs the procedure bilaterally?Virginia Subscriber Answer: No. According to the Medicare Physician fee schedule, you cannot bilaterally report 63655 (Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural). [...]
Smaller overpayments will lead to demand letters from carriersSoon other providers will have a taste of the coding maze that you have to navigate.The infamous Correct Coding Initiative edits will apply to all providers who bill Part B starting in [...]
The Medicare program has made a narrow escape from huge budget cuts proposed by Republican leadership in the House of Representatives. In its 2004 budget resolution, which is the blueprint for final budget negotiations later in the session, Republican lawmakers [...]
Question: Are there any codes that are appropriate for central venous access blood draw, central venous access declotting, and central venous access heparin now that APCs have taken over the hospital outpatient reimbursement?Minnesota Subscriber Answer: Ambulatory payment classifications (APCs) implemented [...]
