Jun 1st, 2012
Here’s what to do when your provider’s documentation takes a back seat. By Robyn Margani, CPC If it isn’t documented, it wasn’t done. That’s the golden rule of coding. As we’ve all been told again and again, inaccurate documentation can lead to improper payments, non-compliance with government and insurance regulations, and audit risks. Unfortunately, the ...
In Billing
Oct 1st, 2010
If you are an ambulance supplier who plans an early adoption of version 5010 of the 837P electronic claim format, be aware that effective for claims submitted to Medicare on or after Jan. 1, 2011, you’ll have three options for complying with the new diagnosis reporting requirement. According to MLN Matters SE1029: Option 1: Suppliers ...
In Coding
Sep 14th, 2009
The Influenza A (H1N1) vaccine is expected to ship mid-October. Will your billing staff be ready for the influx of claims once your physicians’ office begins administering the vaccine? Medicare Part B will pay for the administration of the H1N1 (swine flu) vaccine. Prepare for the H1N1 Vaccine Rush was last modified: July 5th, 2011 by ...
In CMS
Jun 29th, 2009
Not sure if you should bill Part B or Part D for a drug regimen of aprepitant when used to alleviate chemotherapy induced nausea-vomiting (CINV)? You’re not alone. To answer an influx of questions pertaining to anti-emetic drugs, the Centers for Medicare & Medicaid Services (CMS) recently issued MLN Matters SE0910. In MM SE0910, you will find guidance ...
Mar 1st, 2007
Nancy Reading, RN, BS, CPC Medicare’s modernization act and the 2006 tax relief legislation that rolled back the negative Medicare conversion factor give a temporary reprieve to the “TC” technical component when an independent lab furnishes the pathology services as part of a business arrangement. The stay comes to a close on Dec. 31, 2007, which is quite a lengthy extension given that the ...