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, ...
In Coding
Jul 26th, 2016
If telehealth is the wave of the future, we’re still in the Dark Ages. The public has an ongoing opportunity to submit requests to the Centers for Medicare & Medicaid Services (CMS) for adding or removing services from the list of Medicare-covered telehealth services. This year, however, CMS is proposing not to add the majority of ...
In Billing
Nov 2nd, 2015
The Centers for Medicare & Medicaid Services (CMS) issued final rules detailing how the agency will pay for services provided to beneficiaries in Medicare by physicians and other healthcare professionals in 2016. Payment rules for the 2016 calendar year for End-Stage Renal Disease Prospective Payment System (ESRD PPS), the Hospital Outpatient Prospective Payment System (OPPS), Home ...
Aug 14th, 2015
The Centers for Medicare & Medicaid Services (CMS) has added language to its billing guidelines for home dialysis (less than full month) to be consistent with its policy for partial-month, center-based dialysis services. In the 2011 Medicare Physician Fee Schedule (MPFS) final rule, CMS changed the policy for home dialysis (less than full month) to ...
In Coding
Feb 18th, 2015
By: Gouri Pathare MBBS, CPC Kidney transplantation is a treatment option for most patients with End Stage Renal Disease (ESRD). The procedure may be deceased-donor (cadaveric) or living-donor transplantation. Living-donor renal transplants may be genetically related (living-related) or non-related (living-unrelated) transplants. Diabetes mellitus, hypertension, cystic kidney disease, urologic cond...