In Coding
Mar 15th, 2019
March is national colorectal cancer awareness month, and a perfect time to check your colonoscopy coding. Colorectal cancer is the third most common cancer in men and women in the United States, the Centers for Medicare & Medicaid Services (CMS) reminds us in this week’s MLN Connects (March 14, 2019). Getting screened for colorectal cancer ...
In Coding
Aug 9th, 2018
A lot rides on you knowing the difference between a preventive service and a diagnostic screening. Title I, Part A, Subpart II, Section 2713.a.1 of the Affordable Care Act (ACA), signed into law on March 23, 2010, requires commercial insurance plans to cover preventive screening services rated A or B by the U.S. Preventive Services ...
In Billing
Apr 23rd, 2018
Medlearn Matters Article MM10607 updates the Type of Service (TOS) code for CPT code 77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed from 4 Diagnostic radiology to 1 Medical care to allow physicians, providers, and suppliers to bill without referring physician information on the claim, effective Jan. 1, 2017. Change is Du...
In CMS
Nov 11th, 2014
The Centers for Medicare & Medicaid Services (CMS) is proposing to offer beneficiaries a new preventive service benefit. After weighing all the evidence, CMS issued, Nov. 10, a decision memo stating that there is sufficient evidence that a lung cancer screening counseling and shared decision-making visit, as well as screening for lung cancer with low ...
In Coding
Jul 13th, 2012
Just six months into 2012 and already over 16 million people with original Medicare have received at least one preventive service at no cost to them, U.S. Department of Health & Human Services (HHS) Secretary Kathleen Sebelius announced July 10. If last year is any indication, that number will double by the end of the ...