In Billing
Feb 22nd, 2019
Is your outpatient facility on board with new regulations for the ordering and furnishing of advanced diagnostic imaging services? Advanced diagnostic imaging services have long been under scrutiny by the Office of Inspector General for Medicare fraud and abuse, and the Centers for Medicare & Medicaid Services (CMS) responds to the watchdog’s recommendations each year ...
In CMS
Feb 21st, 2019
Advance care planning (ACP) is “learning about and considering the types of decisions that will need to be made at the time of an eventual life-ending situation and what the patient’s preferences would be regarding those decisions,” per CPT Assistant (December 2014), which also shares an example of a patient who may benefit from these services. ...
In CMS
Feb 21st, 2019
A split or shared visit occurs when both a physician and a qualified non-physician practitioner (NPP) meet face-to-face with a Medicare patient on the same date of service, and the work of the physician and the NPP are “combined” into a single E/M service. Split or shared visits may improve a physician’s productivity and positively ...
In Coding
Feb 15th, 2019
When reporting osteoporosis ICD-10-CM codes, you’ll need to choose from two separate code subcategories. Osteoporosis, or porous bone, is a systemic condition affecting all bones of the musculoskeletal system. Osteoporosis occurs when too little bone is made, or too much bone is lost. Human bones are constantly being remodeled. This process occurs more rapidly in ...
In Billing
Feb 15th, 2019
Code changes for the April update to the 2019 Medicare Physician Fee Schedule Database (MPFSDB) are effective for dates of service on and after Jan. 1, 2019. Medicare Administrative Contractors (MAC) will not search their files to retract payment for claims already paid or to retroactively pay claims. To ensure proper claims payment, providers will ...