In Billing
Jun 1st, 2012
July 2012 updates to the Integrated Outpatient Code Editor (I/OCE), the Centers for Medicare & Medicaid Services’ (CMS) system for filing and adjudicating claims paid under the Outpatient Prospective Payment System (OPPS), include a change to bring it in line with correct coding guidelines. The OCE is used for outpatient services in hospitals and ambulatory ...
In Billing
Jan 27th, 2012
The Centers for Medicare & Medicaid Services (CMS) recently identified that an update to the Integrated Outpatient Code Editor (I/OCE) is necessary to allow payment for CPT® code 33249 Insertion or replacement of permanent pacing cardioverter-defibrillator system with transvenous lead(s), single or dual chamber. CMS is asking contractors to hold claims containing 33249 until the I/OCE is ...
Jul 1st, 2010
By Nancy Reading, RN, BS, CPC, CPC-I Proper application of evaluation and management codes (E/M) codes and modifier 25 Significant, separately identifiable evaluation and management service by same physician on the same day of the procedure or other service has been a longtime challenge for physician coders. More recently, the appropriate assignment of E/M service ...
In CMS
Nov 2nd, 2009
The Centers for Medicare & Medicaid Services (CMS) has determined that its blanket of non-coverage for blood flow measurement using magnetic resonance imaging (MRI) technology contradicts its policies and magnetic resonance angiography (MRA). CMS has eliminated that from the national coverage determination (NCD), effective Sept. 28, and is allowing payers to choose to cover the services.  ...