In Coding
Feb 15th, 2019
When reporting osteoporosis ICD-10-CM codes, you’ll need to choose from two separate code subcategories. Osteoporosis, or porous bone, is a systemic condition affecting all bones of the musculoskeletal system. Osteoporosis occurs when too little bone is made, or too much bone is lost. Human bones are constantly being remodeled. This process occurs more rapidly in ...
In Billing
Feb 15th, 2019
Code changes for the April update to the 2019 Medicare Physician Fee Schedule Database (MPFSDB) are effective for dates of service on and after Jan. 1, 2019. Medicare Administrative Contractors (MAC) will not search their files to retract payment for claims already paid or to retroactively pay claims. To ensure proper claims payment, providers will ...
In Billing
Feb 14th, 2019
The Centers for Medicare & Medicaid Services (CMS) released, Feb. 1, maintenance updates for several National Coverage Determinations (NCDs) to reflect recent code changes (CR11134). Every year, when ICD-10, CPT®, and HCPCS Level II codes are updated, NCDs (and Local Coverage Determinations) must also be updated. When this occurs, it’s essential for providers to review ...
In Billing
Feb 8th, 2019
Michigan-based Trinity Health is replacing its current electronic health record (EHR) and revenue cycle management (RCM) platform while centralizing patient billing service centers, affecting hundreds of medical coders, billers, and others. The 22-state health system’s plan is to adopt Epic as a single EHR and RCM to standardize billing, share data, and cut costs. The ...
In CMS
Feb 8th, 2019
Under the “primary care exception,” a medical resident may perform (and bill for) limited, specific evaluation and management services without the presence of a teaching physician. Here’s what you need to know when reporting these resident services. When the Primary Care Exception Applies Ordinarily, services furnished by medical residents are excluded from Medicare payment because ...