Author "Brad Ericson"

By Brad Ericson
In CMS
Jul 7th, 2019
Comments Off on Hospital's Mold Kills 1, Sickens 5
The Seattle Children’s Hospital has reopened  its 14 operating rooms after removing mold that it said killed one child and sickened five in 2018. Originally discovered last year, a May discovery was one of many that prompted the Centers for Med...
By Brad Ericson
In CMS
Jul 1st, 2019
Transcatheter aortic valve replacement (TAVR) national coverage policy rules have been streamlined by the Centers for Medicare & Medicaid Services (CMS) as the minimally invasive intravenous procedure becomes more commonplace. However, it is st...
By Brad Ericson
In Billing
May 31st, 2019
Comments Off on Change to RT and LT Modifier Use
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the ...
By Brad Ericson
In Billing
May 29th, 2019
Comments Off on 5 More Reasons Claims are Denied
There are the standard reasons medical claims are denied, such as putting the wrong modifier on a code or putting the diagnoses in the wrong sequence. But did you know that some reasons are not the fault of medical coding? 5 Ways Your Claim Can Be Den...
By Brad Ericson
In Audit
May 14th, 2019
Comments Off on 28 DME Documentation Checklists
If you want to smooth reimbursement claims for durable medical equipment, CGS offers 28 documentation checklists that identify what must be included. Recently updated, these checklists include the following items and services: Enteral nutrition Glucos...