In Billing
Jun 10th, 2021
Retroactive code pricing updates may require claims lookback. The Centers for Medicare & Medicaid Services (CMS) has posted a retroactive update to the April Average Sales Price (ASP) pricing file for three Medicare Part B drugs. Also now available are the July ASP and Not Otherwise Classified (NOC) pricing files and the ASP NDC HCPCS ...
In Billing
Jun 3rd, 2021
Make sure your physician practice is prepared for renewed scrutiny of Medicare claims. Medicare Part B post-payment, service-specific medical reviews resumed Aug. 17, 2020, after a brief hiatus due to the COVID-19 public health emergency. Prepare for time-sensitive Additional Documentation Request (ADR) letters by knowing what services Medicare Administrative Contractors (MACs) will be reviewing n...
In Billing
Jun 1st, 2021
Comments Off on Take 5: Medicare News Flash – May 2021
No time to read all those wordy transmittals? Here’s news you can peruse in under 5 minutes. Catch up on the latest Medicare Part A/B news communicated via Medicare Learning Network (MLN) articles on your break. Below are summaries of notable coding and billing changes. FDA Retracts Bamlanivimab EUA The COVID-19 Public Health Emergency (PHE) ...
In Billing
Jun 1st, 2021
Follow these steps when adding novel drug therapies to your practice management system to ensure accurate payment. New drugs, often referred to as novel therapies, come onto the market daily. These new drug therapies have passed through all the clinical trial phases, proven safe and effective, earning them approval from the U.S. Food and Drug ...
In Billing
Jun 1st, 2021
Arm yourself with a solid understanding of key terms and guidelines to overcome sepsis coding hurdles. Sepsis, systemic inflammatory response syndrome (SIRS), and septicemia have historically been difficult to code. Changing terminology, evolving definitions, and guideline updates over the past 20 years have created confusion with coding sepsis. Much has changed since I wrote my ...