In Billing
Feb 14th, 2019
The Centers for Medicare & Medicaid Services (CMS) released, Feb. 1, maintenance updates for several National Coverage Determinations (NCDs) to reflect recent code changes (CR11134). Every year, when ICD-10, CPT®, and HCPCS Level II codes are updated, NCDs (and Local Coverage Determinations) must also be updated. When this occurs, it’s essential for providers to review ...
In Coding
Feb 5th, 2019
Call on AAPC Coder and NCCI code pair edits for support. Many procedures in the CPT® code book are designated “separate procedures,” but that doesn’t mean you can report those procedures separately in every case. First, you must consider other procedures performed during the same encounter. “Separate” Might Not Mean What You Think It Does ...
Use the next two years to prepare for new documentation guidelines and payment rates. On Nov. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) finalized in the 2019 Physician Fee Schedule final rule significant changes to documentation requirements and reimbursement for evaluation and management (E/M) office visits (CPT® 99201-99215). The most significant changes ...
In Coding
Feb 4th, 2019
In addition to the annual release of CPT® code changes, the American Medical Association (AMA) likes to keep medical coders on their toes by releasing mid-year changes. The following Vaccine codes and Category III codes were accepted and/or revised at the September 2018 CPT Editorial Panel meeting for the 2020 CPT® production cycle. These codes ...
In Billing
Jan 30th, 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT ...