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 Billing
Feb 7th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – ...
In Coding
Oct 3rd, 2018
To distinguish among poisoning, adverse effect, or underdosing by drugs, medicinal, and biological substances (T36-T50) when assigning ICD-10-CM diagnostic codes, consider the following definitions: Poisoning indicates improper use of a medication, to include overdose, wrong substance given or taken in error, or wrong route of administration. When reporting poisoning by drugs, biological, and biolo...
In Billing
Sep 20th, 2018
It’s time to update your seasonal influenza vaccine roster for the 2018-2019 season. Medicare provides coverage of the flu vaccine once per season (or more, if medically necessary) without any out-of-pocket cost to the Medicare patient. No deductible or co-payment/coinsurance applies. Healthcare providers are reimbursed for the vaccine and its administration. The administration code for ...
In Coding
Jul 1st, 2014
Across the country, in offices and facilities, coders are having trouble with CPT® 96372 Therapueutic, prophylactic, or diagnostic injection, specify substance, or drug; subcutaneous or intramuscular. Providers are not being paid for this injection administration code because it is being applied incorrectly, insurance companies say. Here’s why. The primary intent of an injection as described ...