In Billing
Sep 13th, 2019
October 1 is a scary time for medical coders. There are fourth quarter updates to HCPCS Level II codes and code editors. Payment system and fee schedules are updated. And ICD-10-CM code changes go into effect. What’s a coder to do? Whatever you do, don’t hide under your bed. Jason’s under there (just a little Friday ...
In Billing
May 10th, 2019
If your provider is ordering nebulizers and the drugs used in them for their patients, here are things  in the documentation that will help prevent a resubmission to Medicare and ease medical coding. CMS Wants Nebulizer Necessity The Centers for Medicare & Medicaid Services (CMS) recently released an MLN fact sheet that helps clarify what’s ...
In CMS
Apr 26th, 2019
Insufficient documentation accounted for nearly 82 percent of improper payments for ostomy supplies in 2018, according to the Centers for Medicare & Medicaid Services (CMS). No documentation and medical necessity also are reasons for ostomy supply pay problems. Tips to Avoid Pay Problems CMS recommends the following to providers’ medical coders: Medical records must contain ...
In CMS
Jan 8th, 2019
If you are a durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) company who is in Medicare’s Competitive Bidding program, your contract expired on Dec. 31, 2018. The Centers for Medicare & Medicaid Services (CMS) says there is a temporary 2-year gap in the entire program, expected to end on Dec. 31, 2020. This means, ...
Aug 31st, 2018
Comments Off on Medical Equipment Companies Cheer for Possible End to Medicare Competitive Bidding
Unless you’re a healthcare worker using durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) or are a home healthcare company, you probably have no idea what Medicare’s DMEPOS Competitive Bidding Program (CBP) is or how it affects healthcare equipment suppliers and patients. Frankly, it’s been a thorn in the sides of many DMEPOS companies for ...