In Billing
May 23rd, 2018
Here’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes For the following two HCPCS Level II codes, the PC/TC indicator is changed to 0 (zero) ...
In Billing
May 23rd, 2018
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request 10602, under the policy regulations § 412.4: * When a patient is transferred to another hospital and their stay ...
In CMS
May 22nd, 2018
A lot of people have been asking questions about how to code FESS surgeries with the new combination codes when three or four sinuses are operated on. Sinus and FESS We have been expecting an AMA CPT® Assistant article with guidance this year, but no instructions have come from the AMA.  I went to the ...
In Billing
May 17th, 2018
How much do you charge your patients or their designated third parties for medical records?  Better take a look and check your state laws, the General Accounting Office (GAO) just turned their eagle eyes on how much it costs patients and others to access records. Medical Records Study Thanks to the 21st Century Cures Act, the GAO ...
In CMS
May 17th, 2018
The Advancing Care Information (ACI) performance category – one of four performance categories in the Merit-based Incentive Payment System (MIPS) – is now the Promoting Interoperability (PI) performance category. What’s In a Name? For whatever reason, the Centers for Medicare & Medicaid Services (CMS) renamed the performance category. Nothing else has changed about the category. ...