In Billing
May 23rd, 2019
Beginning July 2019, oncologists who are part of the Center for Medicare & Medicaid Services’ (CMS) voluntary Oncology Care Model (OCM) who haven’t achieved a performance-based payment (PBP) will be switched from a 1-sided risk model to a 2-sided risk model.   According to an Avalere study, half of those being switched will lose money. Avalere advises ...
In Billing
Dec 11th, 2018
Effective March 16, 2018, Medicare will cover diagnostic laboratory tests using next generation sequencing (NGS) when ordered by a treating physician and performed in a Clinical Laboratory Improvement Amendments (CLIA) certified lab. Other specific requirements also must be met. The Centers for Medicare & Medicaid Services (CMS) revised the national coverage determination for NGS (NCD ...
In Coding
Sep 28th, 2018
CPT® coding for fine needle aspiration, or FNA, will change dramatically for 2019. Details of the changes have begun to trickle out after the AMA announced its release of the new CPT® code set on September 5. As of Jan. 1, 2019, you may no longer report fine need aspiration separately with imaging guidance, as previously ...
Billing time-based services won’t be an endurance race if you have a plan of action and follow the rules. Over the course of two decades, various medical specialties have had to adapt to the “clock game.” Those specialties and their codes now include: Anesthesiology Physical therapy, rehabilitation, chiropractic, occupational therapy Evaluation and management (E/M) services ...
Feb 1st, 2014
Know your guidance to maintain compliant coding. By Elizabeth Wernet, CPC, CHONC ICD-10-CM and the ICD-10-CM Official Guidelines for Coding and Reporting 2014 bring new guidance for hematology and oncology coders. Take the time now to become familiar and fully understand the official guidelines to ensure later that your coding is accurate, consistent, and compliant—the ...