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 Billing
Jan 30th, 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT ...
Dec 3rd, 2018
Comments Off on Communicate with 2019 Officers
With the upcoming new year, we’ll have a change in officers, and new officers bring new enthusiasm to the chapters. As an outgoing officer, we request that you share pertinent information the new officers need to know. Don’t assume that because they attend regularly, that they already know something. At the same time, we encourage ...
In Billing
Nov 6th, 2018
2019 HCPCS Level II changes are comprehensive this year, and the code set includes several new modifiers as well as codes. The Centers for Medicare & Medicaid Services (CMS) released them November 6. HCPCS General Talley The 374 changes are broken down this way: 228  new codes and modifiers 49 discontinued codes and modifiers 95 changed ...
In CMS
Nov 5th, 2018
Utilization, new codes, device pass-through, and 340B payment policies top the changes in the Centers for Medicare & Medicaid Services’ (CMS) Outpatient Prospective Payment System (OPPS) final rule for 2019. Cutting OPPS Costs CMS said in a fact sheet with the long-winded title of “CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical ...