Follow the correct edit to promote payment and avoid denial. By Samantha Prince, BSHCM, COC, CPC, CPMA National Correct Coding Initiative (NCCI) edits for Medicare and Medicaid are not the same. If you’re following Medicare edits for Medicaid claims, you may have claims denying inappropriately. That’s missed revenue you could capture by applying the correct ...
Manager of Professional Billing & Coding, Rady Children’s Hospital, San Diego, Calif. Tell us a little bit about how you got into coding, what you’ve done during your coding career, and where you work now.  I became interested in the healthcare field after I graduated from high school. It seemed like a challenging career that ...
New programs enable clinicians to avoid 2019 MIPS penalties with minimal data reporting. The Quality Payment Program (QPP) combines the Physician Quality Reporting System (PQRS), Meaningful Use (MU), and Value-based Payment Modifier (VBM) programs under a single reporting umbrella known as the Merit-based Incentive Payment System (MIPS). Eligible clinicians who do not participate in MIPS ...
Changes meant to clarify reporting and billing open a can of worms, instead. By Terri Brame Joy, MBA, CPC, COC, CGSC, CPC-I The Centers for Medicare & Medicaid Services (CMS) made several changes and clarifications regarding Part B billing for telehealth services in the 2017 Medicare Physician Fee Schedule (MPFS) final rule. What was meant ...
Feb 1st, 2009
By G. John Verhovshek, MA, CPC HCPCS Level II codes have seen many hundreds of changes for 2009, but you’ll find that the most substantial revisions affect durable medical and drug equipment supply codes. New DME Codes Among the most interesting additions to durable medical equipment (DME) codes are E0656 Segmental pneumatic appliance for use ...