May 1st, 2012
Weed through the guidance to properly append this commonly confused modifier. By G.J. Verhovshek, MA, CPC, and Rita Von Holtum, CPC-H Nearly 18 months since its introduction at the American Medical Association’s (AMA’s) 2010 CPT® Symposium, modifier 33 Preventive service continues to cause confusion. Here, we review eight quick tips that teach you when and ...
In Billing
Feb 10th, 2012
Effective for claims processed with dates of service on or after Jan. 1, 2011, Outpatient Prospective Payment System (OPPS) providers should report HCPCS Level II code G0010 Administration of hepatitis b vaccine for the administration of hepatitis b vaccine, rather than CPT® 90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine ...
In Billing
Aug 31st, 2011
The Centers for Medicare & Medicaid Services (CMS) recently announced a proposal to cover screenings for a variety of sexually transmitted infections (STIs), as well as high intensity behavioral counseling (HIBC) to prevent STIs. Specifically, CMS proposes the following coverage for laboratory tests approved by the U.S. Food and Drug Administration (FDA), when ordered by ...
In CMS
Mar 11th, 2011
The Centers for Medicare & Medicaid Services (CMS) has opened separate national coverage analyses (NCAs) for screenings of depression and sexually transmitted infections (STIs), including high-intensity behavioral counseling (HIBC) to prevent STIs. The agency is considering adding these screenings to the list of preventive services already covered by Medicare, such as Pap smear and screening ...