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Author "Barbara Cobuzzi"

By Barbara Cobuzzi
In Coding
May 1st, 2020
Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Services (CMS) kindly dropped another bomb on us: more t...
By Barbara Cobuzzi
In Coding
Apr 27th, 2020
Capture full payment for remote visits during the PHE for COVID-19. An interim final rule published in the April 6, 2020, Federal Register explains how to bill telehealth services during the COVID-19 public health emergency (PHE). The final rule goes ...
By Barbara Cobuzzi
In Billing
Mar 3rd, 2020
Failure to adopt the X[ESPU] modifiers may be putting your practice at risk for Medicare fraud. Modifier 59 Distinct procedural service continues to be the most-used modifier among Medicare Part B providers, according to Novitas, and it is sending up ...
By Barbara Cobuzzi
In Audit
Feb 11th, 2020
Comments Off on Check Your FESS Claims for Improper Payment Adjustments
MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the proposal to apply the special rule for multiple endosco...
By Barbara Cobuzzi
Jan 23rd, 2020
Comments Off on New Medicare Cards Initiate Phishing Scam
Medicare patients are receiving calls from telephone solicitors who are phishing for private identification information for nefarious purposes. The ruse is facilitated by the issuance of new Medicare cards. Here’s How the Scam Goes Down The callers c...