May 1st, 2012
Understand your use of CPT® codes prone to audit review. By Stacy Harper, JD, MHSA, CPC In the current regulatory environment, physicians are searching for ways to minimize audit exposure. Medicare administrative contractors (MACs) frequently review high-level evaluation and management (E/M) services. Review may be based on a random sample, or targeted based on provider ...
In Billing
Jul 1st, 2011
Palmetto GBA, Medicare administrator for California, will now allow coverage for the Pathwork Diagnostics Tissue of Origin Test. Because all tissue of origin tests are processed in the Pathwork Diagnostics Laboratory in California, the Palmetto decision means that the test will be covered for patients nationwide. The tissue of origin test is used to identify ...
In Billing
Mar 11th, 2011
A claims processing issue has resulted in claims for HCPCS Level II code J9395 Fulvestrant, 25 mg with dates of service on or after Jan. 1 to be improperly paid by at least one Medicare administrative contractor (MAC). The Centers for Medicare & Medicaid Services (CMS) recently discovered that providers were being underpaid for these ...
Sep 9th, 2009
TriSpan Health Services — the Medicare Part A fiscal intermediary (FI) for Louisiana and Mississippi under subcontract with Blue Cross Blue Shield (BCBS) — is ending its Medicare fee-for-service program administration agreement effective Sept. 30. PBSI Administers TriSpan Medicare Part A Claims was last modified: July 5th, 2011 by admin aapc...