In Billing
Jun 22nd, 2016
Medicare Part B generally doesn’t cover therapeutic shoes and other supportive devices for the feet, with a few exceptions. Do you know what they are? One exception covered under Medicare is if the therapeutic shoe is an integral part of a leg brace, and its expense is included as part of the cost of the ...
In Audit
Aug 9th, 2012
The Centers for Medicare & Medicaid Services (CMS) recently posted a new interactive Provider Compliance Group Interactive Map aimed to allow providers to determine state and territory-specific organizations providing Medicare auditing and compliance services in each state, including their contact information, email, and websites. The map includes the CMS divisions responsible for contractors a...
In Billing
Sep 29th, 2011
In what situations a pharmacy can bill when it’s dispensing certain drugs has been clarified in Transmittal 2312, posted by the Centers for Medicare & Medicaid Services (CMS). The transmittal also cautions physicians on not billing what the pharmacy has dispensed. Incident-to Rx Billing Clarified was last modified: January 17th, 2015 by admin aapc...
In Billing
Jul 29th, 2011
Since April 4, the Medicare claims processing system has been erroneously denying claims for certain custom prosthetic devices. Durable medical equipment Medicare administrative contractors (DME MACs) have been instructed to reprocess any claims for custom prosthetic devices (identified by the “L” series of HCPCS Level II codes) that were inappropriately denied. If suppliers want to ...
In Billing
Apr 30th, 2010
Providers will soon need to submit claims for tracheo-esophageal voice prostheses somewhere other than to their Durable Medical Equipment Medicare Administrative Contractor (DME MAC). The Centers for Medicare & Medicaid Services (CMS) is changing the claims filing jurisdiction for HCPCS Level II code L8509 Tracheo-esophageal voice prosthesis, inserted by a licensed health care provider, any ty...