May 14th, 2009
Comments Off on Proposed I-9 Changes: Business as Usual for 2010
Despite the planned implementation of ICD-10 in 2013, it’s business as usual for ICD-9-CM as more than 140 new and 40 changed diagnostic codes are proposed for the 2010 fiscal year release of the diagnostic system. The draft codes are included in the proposed rule for the Inpatient Prospective Payment System (IPPS), and comment is ...
May 14th, 2009
Comments Off on CMS Considers Genetic Testing Coverage
The Medicare Evidence Development and Coverage Advisory Committee (MedCAC) came together May 6 to discuss whether genetic testing improves health outcomes enough to warrant Medicare coverage. Does screening genetic testing change the natural history and/or reduce the complications of the disease and alter morbidity/mortality? The Centers for Medicare & Medicaid Services (CMS) wants to know. ...
In Coding
May 12th, 2009
Comments Off on Noridian Retires Three LCDs, Revises Three
Noridian Administrative Services, LLC (NAS) announced earlier this month that it is retiring certain local coverage determinations (LCDs) and revising a few others. Noridian Retires Three LCDs, Revises Three was last modified: May 12th, 2009 by admin aapc...
May 11th, 2009
Comments Off on Chiropractic Claims Rack Up $178 Million: OIG
Medicare inappropriately paid $178 million for chiropractic claims in 2006, according to a U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) report. Miscoded (generally upcoded) claims accounted for $11 million in improper payments and $46 million was inappropriately paid for undocumented claims, but maintenance therapy was the biggest offender, totaling ...
May 8th, 2009
Comments Off on OIG Report Identifies Dialysis Facility Billing Mistakes
The Office of Inspector General (OIG) estimates that National Government Services, Inc. (NGS) overpaid dialysis facilities $3.9 million for laboratory tests provided to end-stage renal disease (ESRD) beneficiaries during 2004-2006. The overpayments, according to the April 27 report, were due to insufficient controls to ensure compliance on the part of dialysis facilities and NGS’s limited ...