In CMS
Oct 29th, 2019
Wondering where all the ICD-10-CM, CPT, HCPCS Level II, Bill Type, and Revenue codes disappeared to in local coverage determinations (LCDs)? A provision of the 21st Century Cures Act required codes to be removed from LCDs and communicated through local coverage articles. Medicare Administrative Contractors (MACs) began the conversion at the beginning of the year ...
In Billing
Sep 26th, 2019
When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new problem to the examiner. This means that, although a problem may be established for a ...
In Billing
May 31st, 2019
The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being ...
In Audit
Mar 6th, 2019
If  you receive Additional Documentation Requests (ADR) from a Medicare Administrative Contractors (MAC) and others, here are some tips  to respond most effectively. Additional Documentation Request Success Isn’t that Hard CGS  Administrators, a MAC and Durable Medicare Administrative Contractor (DMAC) with a presence in 38 states, offers helpful tips in their ADR process.  ADRs may ...
To better understand the three types of anesthesia rewire your thinking with this telephone analogy. Have your every wondered how anesthesia works? I have. But then a certified registered nurse anesthetist (CRNA) explained it to me so clearly that I felt compelled to share her analogy with other medical coders. To better understand how the ...