In Billing
Dec 11th, 2018
Effective March 16, 2018, Medicare will cover diagnostic laboratory tests using next generation sequencing (NGS) when ordered by a treating physician and performed in a Clinical Laboratory Improvement Amendments (CLIA) certified lab. Other specific requirements also must be met. The Centers for Medicare & Medicaid Services (CMS) revised the national coverage determination for NGS (NCD ...
In Billing
Dec 6th, 2018
What Does it Take to Get Paid? AMA Morning Rounds (Dec. 5, Henry) discusses remote patient monitoring (RPM) and the “pitfalls you will want to avoid” as your practice implements this latest telehealth service. The article discusses three “pitfalls” to watch out for: Workflow Requirements Data Key requirements of implementing RPM include the coding and ...
In Billing
Nov 28th, 2018
A new tool that displays cost differences for certain surgical procedures was recently released by the Centers for Medicare & Medicaid Services (CMS), and it may help medical coders and their providers help patients better choose whether to have inpatient or outpatient surgery. The Procedure Price Lookup displays national averages for the amount Medicare pays ...
In Billing
Nov 28th, 2018
The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. CMS stressed that they will be paying for virtual check-ins with patients and virtual consultations ...
In Billing
Nov 21st, 2018
The 2019 Physician Fee Schedule (PFS) final rule doesn’t hold a lot of surprises for physical therapists, as the Centers for Medicare & Medicaid Services (CMS) finalized most of what they proposed for therapy services in July. To the relief of many commenters, however, there is one provision CMS didn’t follow through on — at least ...