In Billing
Jun 13th, 2018
Modifier 52, Reduced Services and Modifier 53, Discontinued Procedure apply to physician services while Modifiers 73 and 74, Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure Prior to the Administration of Anesthesia and Discontinued Out-Patient Hospital/Ambulatory Surgery Center (ASC) Procedure After Administration of Anesthesia respectively apply to facility charges. It ...
Jun 13th, 2018
A medical coder transforms healthcare diagnosis, procedures, medical services, and equipment into universal medical alphanumeric codes. Those codes are taken from medical record documentation, such as physician’s notes, laboratory and radiologic results, etc., to be paid by insurance carriers and government payers. Medical coders check the medical chart to ensure the codes are correct and ...
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
Jun 7th, 2018
The Centers for Medicare & Medicaid Services (CMS)  issued a MLN Matters article ( MM10412 Revised) on May 31 with a retroactive effective date of January 1, 2018 clarifying documentation requirements when performed by Medical Students in a teaching situation. Confusion About Provider Participation There was confusion when this rule was first issued because coders, auditors ...