In Billing
Apr 23rd, 2018
Medlearn Matters Article MM10607 updates the Type of Service (TOS) code for CPT code 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed from 4 Diagnostic radiology to 1 Medical care to allow physicians, providers, and suppliers to bill without referring physician information on the claim, effective Jan. 1, 2017. Change is Du...
In CMS
Apr 18th, 2018
As of July, the Centers for Medicare & Medicaid Services (CMS) is making things easier for medical coders, billers, and implanted pacemaker and defibrillator patients to receive a magnetic resonance imaging (MRI) scan. Clarifying Pacemaker Language CMS said in a Decision Memo dated April 10 it intends to change the language of section 220.2 of ...
Borrowing a page from the plan announced by Amazon, JP Morgan Chase, and Berkshire Hathaway, six healthcare systems in New Jersey are joining their work forces to expand coverage to 50,000 employees and dependents under a single self-insured health plan. The goal of joining together is to reduce costs and improve access to high quality healthcare services ...
In Billing
Apr 12th, 2018
Blue Cross Blue Shield (BCBS) of Michigan is delaying their planned non-coverage of hyaluronic acid injections for knees, slated for April 1. BCBS Pulls Up BCBS giving themselves time to study if hyaluronic acid has the true medical benefit that it claims to have for patients with painful arthritic deterioration. Many patients swear by the ...
In Billing
Apr 4th, 2018
Get a jump on five new HCPCS Level II codes going into effect July 1. All are Q codes and they help patients with opioid addiction, knee pain, cystic fibrosis, and hemophilia. Q9991         Injection, buprenorphine extended-release (Sublocade), less than or equal to 100 mg Q9992         Injection, buprenorphine extended-release (Sublocade), greater than 100 mg   Sublocade is ...