In Billing
May 31st, 2019
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...
In CMS
May 21st, 2019
There is a change in Medicare policy forthcoming regarding evaluation and management (E/M) services documentation requirements for teaching physicians. It is important to train teaching physicians, residents, and nurses who document E/M services of all changes to be implemented on July 1, 2019. To quote from the MLN article MM11171: The following provides these policy ...
In Billing
May 10th, 2019
If your provider is ordering nebulizers and the drugs used in them for their patients, here are things  in the documentation that will help prevent a resubmission to Medicare and ease medical coding. CMS Wants Nebulizer Necessity The Centers for Medicare & Medicaid Services (CMS) recently released an MLN fact sheet that helps clarify what’s ...
In CMS
May 8th, 2019
Evaluation and Management (E/M) is changing over the next two years. These will be the most significant payment and code changes since 1997 and will upend the medical coding and billing. Adding to the unsettling  information about the changes is that they continue to evolve. Awareness is Key To succeed, be aware of the changes ...
In CMS
Apr 26th, 2019
Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018, according to the Centers for Medicare & Medicaid Services (CMS). No documentation and medical necessity also are reasons for ostomy supply pay problems. Tips to Avoid Pay Problems CMS recommends the following to providers’ medical coders: Medical records must contain ...