In Billing
Nov 6th, 2018
2019 HCPCS Level II changes are comprehensive this year, and the code set includes several new modifiers as well as codes. The Centers for Medicare & Medicaid Services (CMS) released them November 6. HCPCS General Talley The 374 changes are broken down this way: 228  new codes and modifiers 49 discontinued codes and modifiers 95 changed ...
Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
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...