In Billing
Jun 21st, 2018
The Centers for Medicare & Medicaid Services (CMS) is modifying its Medicare coverage policy for continuous glucose monitors (CGMs) to support their use in conjunction with smartphones, including the data sharing function CGMs provide. Medicare coverage of therapeutic CGMs began in January 2017, but the policy limited their use in conjunction with smartphones. CMS is removing this limitation in...
In CMS
Mar 5th, 2018
Now that you’re familiar with the 2018 HCPCS Level II codes,  new C, G, K, and Q codes effective April 1 have been released by the Centers for Medicare & Medicaid Services (CMS). Several modifiers have been adjusted to reflect oxygen use. The annual quarterly updates helps CMS programs, such as the Outpatient Prospective Payment System (OPPS) ...
In Billing
Jan 19th, 2018
The Centers for Medicare & Medicaid Services (CMS) finalized, this week, proposed Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Quality Standards for custom fabricated and therapeutic inserts with one minor change. The revisions, effective Jan. 9, 2018, occur in the Custom Fabricated and Therapeutic Inserts section in Appendix C of the DMEPOS Quality Standards. ...
In Audit
Aug 30th, 2017
One week after the release of the 2018 ICD-10-CM Official Guidelines by the Centers for Disease Control and Prevention (CDC), the agency released an errata with updated rules for diabetes mellitus, hypertension, and principal diagnosis. And while some publishers, like AAPC, were able to put their ICD-10-CMs to press with the new guidelines, it was too ...
Following guidelines and asking questions are key to solving the T3cDM coding mystery. One guideline in ICD-10-CM consistently overlooked is I.C.4.a.6.b.i., which is specific to secondary diabetes mellitus due to a pancreatectomy. I.C.4.a.6.b.i. Secondary diabetes mellitus due to a pancreatectomy For postpancreatectomy diabetes mellitus (lack of insulin due to the surgical removal of all or ...