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 ...
In Billing
Apr 5th, 2018
The Office of Inspector General (OIG) did a study of physical therapy claims and documentation for Medicare patients and issued a report this month in March. Their findings are of great concern for the PT and rehabilitation specialty. The OIG reviewed claims from 2013 and found that 61 percent of the Medicare claims for outpatient PT services ...
In Billing
Apr 3rd, 2018
New Medicare cards with the new Medicare Beneficiary Identification (MBI) numbers are in the mail, but don’t get too excited. It will take up to a year to get them all out. Who’s Getting Medicare Cards and When? The new cards, which replace the risky Social Security-based Health Insurance Claim Number (HICN) with the new unique numbers, ...