In CMS
Apr 18th, 2018
As of July, the Centers for Medicare & Medicaid Services (CMS) is making things easier for medical coders, billers, and implanted pacemaker and defibrillator patients to receive a magnetic resonance imaging (MRI) scan. Clarifying Pacemaker Language CMS said in a Decision Memo dated April 10 it intends to change the language of section 220.2 of ...
In Billing
Apr 12th, 2018
The Mayo Clinic recently gave 400 medical transcriptionists the option of a “voluntary separation package” or pursue another job, according to the Rochester, Minn. Post-Bulletin. A new electronic health record (EHR) system is forcing the cuts. The healthcare system, which has facilities in Minnesota, Wisconsin, Arizona, Florida, and other states employs the transcriptionists in several ...
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 Coding
Apr 5th, 2018
The multiple procedure payment reduction (MPPR) means that if a healthcare provider performs multiple procedures during a single patient encounter, Medicare (and many commercial insurers) typically will pay “full price” for only the highest-valued procedure. The reason is explained in Chapter 1 of the National Correct Coding Initiative (NCCI) Policy Manual: Most medical and surgical ...
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, ...