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 ...
Feb 13th, 2019
Every year, there are reports of measles outbreaks among children who have not been vaccinated, and it can be fatal. “While death rates have been falling worldwide as more children receive the measles vaccine, the disease still kills more than 100,000 people a year, most under the age of 5,” according to Mayo Clinic. Here is ...
In Billing
Feb 12th, 2019
Is putting patients in control of their healthcare a cure for what ails this country? At the 2019 Centers for Medicare & Medicaid Services (CMS) Quality Conference in Baltimore, Maryland, Jan. 29-31, CMS Administrator Seema Verma spoke about the agency’s vision to transform the healthcare system through competition and innovation. “We are prioritizing a well-informed, ...
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 ...
In Billing
Feb 7th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – ...