In Billing
Jan 30th, 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT ...
Sep 12th, 2018
Last month, the first generic version of the life-saving EpiPen was approved by the U.S. Food and Drug Administration (FDA). This is celebratory news for those with anaphylactic reaction to insect bites, foods, medications, latex, etc., which occurs in one of 50 people in the United States. EpiPen consists of the drug epinephrine and an ...
In Audit
Aug 16th, 2018
Improper payments stem from noncompliance. Hospitals do not always comply with Medicare requirements for reporting cochlear devices replaced without cost, according to a report issued by the Office of Inspector General (OIG). The U.S. Department of Health and Human Services branch office, charged with protecting program integrity, bases its conclusion on prior compliance reviews in which it identif...
Jul 18th, 2018
Ever since the 2013-2016 Ebola outbreak in western Africa, vaccines are being developed; however, there are still no vaccines or drugs that have been approved by the U.S. Food and Drug Administration (FDA) to fight it. The good news is the World Health Organization (WHO) published information about a collaborative Ebola vaccine effort between the ...
There are many levels to Medicare coverage and documentation requirements. Hyberbaric oxygen (HBO) therapy, commonly referred to as HBOT, is an adjunct medical therapy for wound healing and other medical conditions. Exposing wounds that are not healing, or are slow to heal, to 100 percent oxygen can accelerate the healing process. Two types of chambers ...