In CMS
Nov 8th, 2019
HCPCS Level II code changes for 2020 were published by the Centers for Medicare & Medicaid Services (CMS) on Nov. 8. These changes include a comprehensive list of new, revised, and deleted codes used to report Medicare Part B services. 2020 HCPCS Level II will include 191 new codes and modifiers, 62 revised codes, and ...
Don’t let the ambulatory surgery center setting blur your vision for proper payment. When a Medicare patient has a premium presbyopia-correcting (PC) intraocular lens (IOL) or an astigmatism-correcting (AC) IOL inserted for cataracts, instead of a regular IOL, ambulatory surgery centers (ASCs) must follow specific Medicare coding and billing guidelines to stay compliant. Many ASCs ...
In Coding
Oct 31st, 2019
Navigate with ease through the complexity of non-chemotherapy infusion encounters. Coding infusion services can seem as complicated as driving to an unknown destination without GPS, especially when there are multiple medications. Whenever you’re feeling lost, use this road map for facility-based billing of non-chemotherapy medications to find your way to proper payment. First Stop: Hierarchies ...
In Billing
Oct 18th, 2019
The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items ...
Oct 10th, 2019
CMS moves to empower patients to be more active participants in the discharge planning process. A final rule revises and implements discharge planning requirements that hospitals, critical access hospitals (CAHs), and home health agencies (HHAs) must meet as a condition of participation (CoP) in the Medicare and Medicaid programs. These facilities have until Nov. 29, ...