In CMS
Sep 29th, 2008
Appending modifier 52 (Reduced Services) to a radiology service procedure code does in fact reduce payment by 50 percent. Don’t let an outdated version of the 2008 Outpatient Prospective Payment System (OPPS) fool you. You’ll find several other corrections and clarifications the Centers for Medicare & Medicaid Services (CMS) made to the 2008 OPPS in ...
In Coding
Sep 29th, 2008
Scurvy, the vitamin C deficiency disease most often associated with toothless sailors, is popping up around the country among the elderly and other vulnerable patients, according to a recent article in the American Medical Association’s (AMA) AMedNews, and you may find yourself coding it. AMA: Scurvy Sailing into Offices was last modified: July 5th, 2011 ...
In CMS
Sep 29th, 2008
In 2006, the Centers for Medicare & Medicaid Services (CMS) allowed approximately $96 million in improper payments for facet joint injections services and an additional $33 million in improper payments for associated facility claims, according to an Office of Inspector General (OIG) September report. That’s a whopping 63 percent of facet joint injection services allowed ...
In Billing
Sep 22nd, 2008
HHS Publishes Proposed Changes to HIPAA Transaction and Code Set Standards On August 22, 2008, the Department of Health and Human Services (HHS) published proposed changes to the HIPAA Transaction and Code Set Rules signaling the intent to eliminate use of ICD-9-CM as the codes for reporting diagnoses and implementation of ICD-10-CM with a proposed ...
In Coding
Sep 12th, 2008
Curious about the Ilizarov procedure (20692 Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation system (eg, Ilizarov, Monticelli type))? Utah Attorney General Mark Shurtleff provides an excellent explanation on his blog, www.utahag.blogspot.com. Photographs, X-rays, and a description of the technique are provided. The attorney general’s leg was br...