In Billing
Jul 17th, 2019
A new Medicare program aims to reduce the risk of type 2 diabetes (T2DM) in patients 60 and older by 71 percent. The goal of the Medicare Diabetes Prevention Program (MDPP), rolled out last year by the Centers for Medicare & Medicaid Services (CMS), is to help patients achieve at least 5 percent weight loss. Obesity ...
In Billing
Jul 17th, 2019
Obstructive sleep apnea causes those who suffer from it to sleep poorly and always feel tired. Obstructive sleep apnea is also indicative for heart problems and complications. It is not a good idea to ignore obstructive sleep apnea and the potential problems that it may be causing to one’s body. Inspire Medical System’s Inspire® therapy ...
In Audit
Jul 12th, 2019
The No. 1 claim error for June in 11 states plus the District of Columbia was for non-covered charges, according to Novitas Solutions, Medicare Administrative Contractor for Jurisdictions H (Arizona, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) and L (Washington DC, Delaware, Maryland, New Jersey, and Pennsylvania). This error is identified by Explanation of ...
In Coding
Jul 10th, 2019
Novitas Solutions recently issued a Modifier 50 Fact Sheet, reminding medical coders of the proper use for this CPT payment modifier. The Medicare Administrative Contractor (MAC) for jurisdictions H and L warns that, effective for Part B claims received on and after Aug. 16, 2019, services will be rejected as unprocessable when modifier 50 Bilateral ...
In Coding
Jul 8th, 2019
When you have distinct, separate procedures, know which modifiers will get the claim paid in full. Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of another procedure, or “bundled.” The modifier tells the payer that there are special circumstances that warrant separate reporting (and ...