In Billing
Aug 9th, 2019
January 1, 2020, marks the start of the Appropriate Use Criteria (AUC) program educational and operations testing period, at which time Medicare Administrative Contractors (MACs) will begin accepting AUC-related modifiers on claims for advanced diagnostic imaging services furnished to Medicare Part B patients. The voluntary participation period ends December 31, 2019. Know AUC Program Requirements ...
May 8th, 2014
The Centers for Medicare & Medicaid Services (CMS) issued a final rule May 7, reforming several Medicare regulations identified as “unnecessary, obsolete, or excessively burdensome” on healthcare providers and suppliers. According to CMS, this regulatory reform will save healthcare providers $660 million annually, and $3.2 billion over five years. The final rule, Medicare and Medicaid ...
Jun 1st, 2012
Before you code, know its basics. By Brenda Edwards, CPC, CPMA, CPC-I, CEMC When it comes to procedure coding, radiology is a world of its own, unlike either evaluation and management (E/M) encounters or surgery. If you are unfamiliar with radiology, here are some basic things to know before you code. Learn the Language It ...
In CMS
Feb 11th, 2011
A new demonstration project slated to begin in July will assess whether decision support systems and a new payment method decrease the amount of advanced imaging services physicians order for their Medicare patients. The Centers for Medicare & Medicaid Services (CMS) recently released claims processing instructions to contractors and announced the selected participants for overseeing ...
In Coding
Mar 1st, 2010
An agreement between St. Louis-based Covidien and Poland’s Institute of Atomic Energy will help end a shortage of technitium Tc-99m used in nuclear medicine tests that began last year when two aging nuclear reactors were shut down. The drought forced providers and facilities to schedule late night tests (when a supply comes in) or defer tests because ...