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, ...
In CMS
Mar 27th, 2018
If you’re submitting Durable Medical Equipment (DME) medical codes for billing , you’ll want to know April changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items and services in the schedule. Diabetic DME Codes The Centers for Medicare & Medicaid Services (CMS) are releasing the new file just in time for the new ...
In Billing
Feb 23rd, 2018
Several new Medicare Learning Network (MLN) fact sheets offer tips on provider compliance for certain items that regularly appear on the Office of Inspector General Work Plan due to a high level of improperly paid claims. Here’s a quick synopsis. Hospital Beds and Accessories Physicians and other practitioners who write requisitions or orders for hospital beds ...