May 16th, 2017
If you code for dialysis services provided to Medicare patients, you’ll be interested to know about a new modifier the Centers for Medicare & Medicaid Services (CMS) has created to capture non-covered hemodialysis (HD) treatments provided to Medicare beneficiaries. Medicare Coverage Parameters Hemodialysis is typically furnished three times per week in sessions of three to five hours ...
In Billing
May 11th, 2017
Recognizing the U.S. Preventive Services Task Force’s updated recommendations for hepatitis B virus (HBV) screening, Medicare has added Part A and Part B coverage for HBV screening, effective Sept. 28, 2016. Naturally, there are conditions for coverage. Conditions for Coverage The screening must be performed using the appropriate FDA-approved laboratory test, used consistent with FDA-approved...
In Billing
May 1st, 2017
Without a thorough understanding of the guidelines, calculating time may land you in hot water. When time is the controlling factor in a patient’s visit, be sure to capture the appropriate time-based service code. Per CPT®, unless there are code or code-range-specific guidelines, parenthetical instructions, or code descriptors to the contrary, the following standards apply ...
In Billing
Apr 24th, 2017
Telehealth is growing in popularity and scope. Most local markets have facilities or patient groups seeing patients via the internet. But there are so many facets to telehealth and reimbursement is relatively recent. How do you make sure the online service provided is reimbursable? Here are 5 tips that will help you be reimbursed: Be ...
In Billing
Apr 21st, 2017
The Centers for Medicare & Medicaid Services (CMS) recently posted three new resources to its Quality Payment Program Educational Resources webpage: MIPS Participation Fact Sheet: This fact sheet answers basic questions about eligibility in the Merit-based Incentive Payment System (MIPS). Fact: “Clinicians who are not included in MIPS now, may choose to voluntarily submit data individua...