In Coding
Mar 3rd, 2014
The Centers for Medicare & Medicaid Services (CMS) has removed the coverage of evidence (CED) requirement in the national coverage determination (NCD) for fluorodeoxyglucose (FDG) positron emission tomography (PET) for solid tumors, effective June 11, 2013. CMS will cover three FDG PET scans (without the CED requirement) when used to guide subsequent management of anti-tumor ...
Jan 1st, 2009
CMS continues to emphasize value-based purchasing and promote efficiency incentives. By Denise Williams, RN, CPC-H In the 2009 Outpatient Prospective Payment System (OPPS) final rule, the Centers for Medicare & Medicaid Services (CMS) reviewed and reclassified ambulatory payment classification (APC) assignment based on the “2X Rule Violation.” Prospective payment involves an inherent grouping o...