In Billing
Apr 9th, 2018
Effective April 30, four HCPCS Level II codes for certain durable medical equipment (DME) will no longer require prior authorization. If your medical office or facility sells or rents DME, it’s time to update your list. Master List Agenda The Centers for Medicare & Medicaid Services (CMS) published a final rule in the March 30 Federal Register to ...
In CMS
Mar 27th, 2018
If you’re submitting Durable Medical Equipment (DME) medical codes for billing , you’ll want to know April changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items and services in the schedule. Diabetic DME Codes The Centers for Medicare & Medicaid Services (CMS) are releasing the new file just in time for the new ...
In Billing
Feb 23rd, 2018
Several new Medicare Learning Network (MLN) fact sheets offer tips on provider compliance for certain items that regularly appear on the Office of Inspector General Work Plan due to a high level of improperly paid claims. Here’s a quick synopsis. Hospital Beds and Accessories Physicians and other practitioners who write requisitions or orders for hospital beds ...
In Billing
Jun 13th, 2017
The July 2017 Average Sales Price (ASP) and Not Otherwise Classified (NOC) drug pricing files and crosswalks are now available on the Centers for Medicare & Medicaid Services’ 2017 ASP Drug Pricing Files webpage. Payment Amounts These files contain the payment amounts that will be used to pay for Part B covered drugs for the third quarter ...
In Billing
Feb 3rd, 2017
The Centers for Medicare & Medicaid Services (CMS) has released the files containing the payment amounts for Part B covered drugs for the first quarter of 2017. Medicare Part B payment limits for valid HCPCS codes that are not included in the quarterly pricing files will be determined by local Medicare contractors. Comparing the first ...