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In CMS
Nov 18th, 2008
Comments Off on CMS Proposes to Limit Bariatric Surgery Coverage
In a proposed decision memo, the Centers for Medicare & Medicaid Services (CMS) states that there is little evidence to support open and laparoscopic Roux-en-Y gastric bypass, laparoscopic adjustable gastric banding, or open and laparoscopic biliopancreatic diversion with duodenal switch as reasonable and necessary in patients with type 2 diabetes mellitus (T2DM) and a body-mass ...
In Coding
Nov 18th, 2008
Comments Off on FDA Seizes Contaminated Heparin
The U.S. Food and Drug Administration (FDA) seized 11 lots of contaminated heparin—a blood thinner drug—from Celsus Laboratories Inc. on Nov. 6, according to an FDA news release. The 11 lots consisted of five lots of Heparin Sodium Active Pharmaceutical Ingredient (API) and six lots of Heparin Lithium. These products were manufactured in China and ...
In CMS
Nov 18th, 2008
Comments Off on Court Finds Medicare Policy Unlawful
A federal district court last month found Medicare and some of its contractors had unlawfully limited payments for DuoNeb, an inhalation drug used to treat chronic obstructive pulmonary disease, according to The New York Times. Court Finds Medicare Policy Unlawful was last modified: November 18th, 2008 by admin aapc...
In Billing
Nov 18th, 2008
Comments Off on Therapy Services Coding Requirements Updated
The Centers for Medicare & Medicaid Services (CMS) updated the therapy services chapter of the Medicare Claims Processing manual to reflect the extension of the therapy caps exceptions process to Dec. 31, 2009, mandated by the Medicare Improvements for Patients and Providers Act (MIPAA) of 2008. CMS also added HCPCS Level II coding requirements. Therapy ...
In CMS
Nov 18th, 2008
Comments Off on New C Code Better Late Than Never
Hospitals can add to their list of covered services new HCPCS Level II code C9899, Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage, that will be effective for services furnished on or after Jan. 1, 2009. Use form TOB-12X for claims of this nature. This code was missing from an ...