In Billing
May 23rd, 2019
Ten new HCPCS Level II codes for drugs and biologicals will be payable for Medicare, effective for claims with dates of service on or after July 1, 2019. HCPCS Level II is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT code set jurisdiction, such ...
In Coding
May 2nd, 2019
In the quarterly update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS), a new HCPCS Level II code is being added for anemia management with an effective date of July 1, 2019. J1444 Injection, ferric pyrophosphate citrate powder, 0.1 mg of iron This code is subject to Medicare Part B consolidated billing and, ...
Nov 1st, 2018
Learn what’s in store for facilities billing under the Home Health Prospective Payment System in the coming years. For 2019, the Centers for Medicare & Medicaid Services (CMS) will recalibrate scores for the case-mix adjustment variables, clinical and functional thresholds, payment regression model, and case-mix weights using 2017 claims data. The 2019 market basket update ...
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 Audit
May 11th, 2012
The Centers for Medicare & Medicaid Services (CMS) is postponing until 2013 the collection of data mandated by the Physician Payments Sunshine Act. CMS missed the implementation deadline of October 2011, and instead released draft regulations that solicited strong reactions from stakeholders. Dawn of Sunshine Act Postponed to 2013 was last modified: January 17th, 2015 ...