In CMS
Sep 19th, 2019
Proactive rule seeks to curb fraud and abuse against vitally important federal health care programs. The Centers for Medicare & Medicaid Services (CMS) issued a final rule earlier this month that strengthens their ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs. This first-of-its-kind action changes ...
In CMS
Aug 27th, 2019
Now that revolutionary cancer therapy, Chimeric Antigen Receptor T-cell (CAR T-cell), is covered, let’s take a look at coding CAR T. Last month the Centers for Medicare & Medicaid Services (CMS) finalized the long-sought rules for coverage of CAR-T, novel cutting-edge, often curative treatments that utilize the patients’ own genetically modified immune cells to fight cancer. ...
In CMS
Aug 12th, 2019
Expensive cutting-edge cancer therapy is now covered. Last week the Centers for Medicare & Medicaid Services (CMS) finalized their long-awaited decision to make Chimeric Antigen Receptor T-cell (CAR T-cell) therapy, a type of cancer treatment that uses a patient’s own genetically modified immune cells to fight cancer, available to Medicare patients nationwide. This determination enables ...
In Billing
Jul 23rd, 2019
A request for documentation from a Medicare contractor does not have to be daunting to doctors of chiropractic and their billing staff. This checklist breaks down what medical data you need to include to properly respond to a request for chiropractic medical records. The documentation should include, but is not limited to: Patient Information Name ...
In Billing
Jul 19th, 2019
An Ambulatory Surgical Center Payment System (ASC PS) update that took effect July 1, 2019, changes billing instructions for various payment policies and codes. Here is what you need to know to properly bill Medicare for these services and supplies. New CPT Category III Codes Effective July 1, 2019, the Centers for Medicare & Medicaid ...