Sep 12th, 2018
Last month, the first generic version of the life-saving EpiPen was approved by the U.S. Food and Drug Administration (FDA). This is celebratory news for those with anaphylactic reaction to insect bites, foods, medications, latex, etc., which occurs in one of 50 people in the United States. EpiPen consists of the drug epinephrine and an ...
In Billing
Aug 24th, 2018
Effective Jan. 1, 2019, providers who are participating in Next Generation Accountable Care Organizations (NGACOs) are gaining a new covered benefit enhancement to offer their patients who are not otherwise covered by original fee-for-service (FFS) Medicare. Benefit enhancements are conditional waivers of certain Medicare payment requirements. For 2018, benefit enhancements include: Three-Day Sk...
In CMS
Jun 12th, 2018
Fifty professional societies and healthcare providers wrote a letter to Seema Verma, the secretary of the Centers for Medicare & Medicaid Services (CMS) asking that the agency reimburse three new CPT codes for remote monitoring. Remote Monitoring More than 99091 While expressing their gratitude that the 2018 Medicare Physician Fee Schedule includes 99091 Physician/healthcare professional collec...
Jun 7th, 2018
One of the new HCPCS Level II codes effective July 1 is creating a buzz as the Medicare Learning Network announced jurisdiction will be the Durable Medical Equipment (DME) Medicare Administrative Contractor’s (MAC). Q9994 goes into effect at the beginning of July, allowing providers to report a new technology that will help patients being fed via enteral. ...
In Billing
May 23rd, 2018
Starting Oct. 1, hospital discharges to hospice care qualify as a post-acute care transfer and may have payment adjustments for Medicare patients. According to the Centers for Medicare & Medicaid Services (CMS) Transmittal 2055, change request 10602, under the policy regulations § 412.4: * When a patient is transferred to another hospital and their stay ...