In Billing
Feb 14th, 2018
There are new and changed modifiers to use if you are adjusting oxygen volume. The Centers for Medicare & Medicaid Services (CMS) updated an October Transmittal better defining how to report oxygen amounts below 1 liter per minute, which reduces the fee schedule monthly amount for stationary oxygen by 50 percent. CMS’ rules for  volume adjustment say if ...
In Coding
Dec 4th, 2017
The Centers for Medicare & Medicaid Services (CMS) finalized in the 2018 Medicare Physician Fee Schedule (MPFS) final rule their proposal to remove oxygen gas supply item (SD084) from a series of CPT codes that were previously valued with moderate sedation as an inherent part of the procedure. It occurred to CMS, after finalizing the ...
In Billing
Apr 27th, 2015
By Brad Ericson, MPC, CPC, COC National Government Services, the Jurisdiction B durable medical equipment (DME) administrative contractor, has seen an increase of incorrect Certificate of Medical Necessity (CMN) submissions when a portable oxygen system is added subsequent to the initial certification of a stationary system. When this occurs, they remind you should submit a ...
In Audit
Jun 1st, 2012
Home oxygen for cluster headaches (CH) will be reimbursed for up to 36 months beginning Oct. 1, the Centers for Medicare & Medicaid Services (CMS) recently announced.  The move follows a Jan. 14 transmittal announcing clinical studies. Codes and modifiers to be used for the service are now outlined and include: E0424 Stationary compressed gaseous oxygen system, ...
In Billing
Nov 14th, 2011
The most recent update to the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) fee schedule is now available. The changes, effective Jan. 1, 2012, will affect all providers and suppliers submitting claims to Medicare contractors for DMEPOS items and services. The big news is a 2.4 percent overall increase to the 2011 payment rate, ...