It’s essential and surprisingly easy when you know who to trust. New regulations, code updates, final rules, technology — ugh! Sometimes, it just seems like too much to manage, doesn’t it? The trick is to filter out all the white noise and hone in on just the information you need. At AAPC, we do this ...
In Billing
Jun 4th, 2018
Medicare stipulates precise requirements for billing audiology technicians’ services. As outlined in the Centers for Medicare & Medicaid Services’ (CMS) Transmittal 84 in February 2008, these requirements are distinct from those governing audiologists’ billing. Filter on R84BP. Audiology Services Must Meet Basic Requirements Audiology services—whether provided by an audiologist or audiology tec...
In Audit
Jun 1st, 2018
If you just got one in the mail, don’t panic. Here’s why you probably received it, and how you should respond to it. The Comprehensive Error Rate Testing (CERT) program, which calculates the Medicare fee-for-service (FFS) program improper payment rate based on stratified random samples of Medicare FFS claims, continuously finds the same five leading causes ...
In Audit
May 30th, 2018
Retail giant accused of submitting claims for payment to Minnesota’s Medicaid program in violation of rules. Wal-Mart Stores, Inc. and Sam’s West, Inc. (d/b/a/ Sam’s Club) have agreed to pay a total of $825,000 to resolve False Claims violations, according to a May 29 press release from the U.S. Attorney’s Office for the District of Minnesota. ...
In Billing
May 23rd, 2018
Here’s a summary of the changes for the July update to the 2018 Medicare Physician Fee Schedule Database (MPFSDB). Changes are effective for dates of service on and after July 1, 2018. Indicator Change for RHC and FQHC Care Management Codes For the following two HCPCS Level II codes, the PC/TC indicator is changed to 0 (zero) ...