In Billing
Jan 16th, 2019
The Centers for Medicare & Medicaid Services (CMS) has released 15 corrections to the 2019 HCPCS Level II code set, all retroactive. Of the 15 codes, five are added, one discontinued, and seven reflect changes to payment or coverage status. One modifier introduced in 2011 CMS ruefully admits was “removed in error” and is reinstated. ...
In Billing
Dec 19th, 2018
Nine new HCPCS Level II codes recently released by the Centers for Medicare & Medicaid Services (CMS) and effective in 2019 address spreading contralateral routing technology. Medical coders and billers will want to make note of these. HCPCS Codes Reflect New Technology The codes reflect the growing use of the technology, commonly called CROS/BiCROS hearing ...
In Billing
Dec 14th, 2018
Follow billing guidelines to ensure proper payment for this incentive payment model. The Medicare Diabetes Prevention Program (MDPP) expanded model is a structured behavior change intervention that aims to prevent the onset of type 2 diabetes among Medicare beneficiaries with an indication of pre-diabetes. The clinical intervention consists of a minimum of 16 intensive “core” ...
In CMS
Dec 10th, 2018
The 2019 HCPCS Level II code set includes an unusual nine new modifiers that help medical coders and billers accurately report services recently adopted or changed by Medicare. Some are already effective; others are effective January 1, 2019. Modifiers CO and CQ Modifiers CO and CQ identify therapy services provided by an occupational therapy assistant ...
Here is what you need to know about recent changes that will help you differentiate the two. The past few years have brought changes in CPT® and HCPCS Level II coding for presumptive toxicology screenings (screens) and definitive confirmations (confirms). Here’s what providers, billers, coders, and auditors need to know about these developments. Research and ...