In CMS
Sep 20th, 2016
by John Verhovshek, CPC, and Renee Dustman Reflecting United States Preventive Services Task Force (USPSTF) 2008 recommendations (2015 recommendations are in progress), Medicare Part B covers 100 percent of the Medicare-approved amount for fecal occult blood tests, flexible sigmoidoscopies, colonoscopies, and multi-target stool DNA tests, and 80 percent for barium enemas for colorectal cancer scr...
In Billing
Jan 7th, 2016
The Centers for Medicare & Medicaid Services (CMS) has established new values for incomplete diagnostic and screening colonoscopies performed on or after January 1, 2016. Why the Change? Prior to 2015, CPT® defined “incomplete colonoscopy” as a colonoscopy that did not evaluate the colon past the splenic flexure (the distal third of the colon). And ...
Anesthesia for colorectal cancer screening is a separately billable service, if you follow guidelines. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB CPT® 2015 includes several coding and billing changes in the Anesthesia section, of which anesthesiologists should be aware. One significant change — which is great news for your Medicare patients — is the ...
Mar 1st, 2013
By Anna Barnes, CPC, CEMC, CGSCS Consider patient history and reason for the visit for accurate diagnosis coding. The advent of the Affordable Care Act (ACA) has increased patient access to a greater number of preventative services. Physicians and patients have both benefited from this new law. Patient disease processes are being diagnosed at an ...
Oct 1st, 2012
By G.J. Verhovshek, MA, CPC Medicare rules for coding colonoscopy differ from American Medical Association (AMA) rules, particularly with regard to “incomplete” colonoscopies. For a Medicare patient undergoing a screening colonoscopy, if the surgeon is able to advance the scope past the splenic flexure, consider the colonoscopy “complete” and report the appropriate code (e.g., screening ...