Aug 26th, 2016
Effective Jan. 1, 2017, Medicare administrative contractors (MACs) will reimburse physicians, providers, and clinical diagnostic laboratories considerably more for the professional component (PC) of certain diagnostic imaging procedures than in years past. When Less is More Since 2012, MACs make full payment for the PC of the highest-priced procedure, and apply a Multiple Procedure Payment ...
Mar 10th, 2016
Some changes you’ll find in the April 2016 update actually went into effect the first of the year. They are: HCPCS Level II code G0464 Colorectal cancer screening; stool-based dna and fecal occult hemoglobin (e.g., kras, ndrg4 and bmp3) is now assigned a procedure status of I Not valid for Medicare purposes. Medicare uses another code for ...
Aug 1st, 2014
Be sure the medical record carries enough voltage to bypass reimbursement challenges. Physicians often use computer-generated electrocardiogram (ECG) reports as the baseline for their own interpretation and report. Computer-generated ECG reports, alone, do not meet the requirements to code and bill for the professional component of an ECG. The Centers for Medicare & Medicaid Services ...
Apr 24th, 2014
The April update to the 2014 Medicare Physician Fee Schedule Database (MPFSDB) implements descriptor corrections for HCPCS Level II codes G0416-G0419; relative value unit (RVU) changes for CPT® code 77293; one new HCPCS Level II code for documentation of the medical indication for reasons of elective delivery or early induction of pregnancy; and indicator corrections ...
Jul 1st, 2013
Cardiovascular and ophthalmology technical service providers will feel the penny pinch. By Uma Nachiappan, CPC, CCS Effective Jan. 1, 2013, the Centers for Medicare & Medicaid Services (CMS) expanded its Multiple Procedure Payment Reduction (MPPR) policy to cover diagnostic cardiovascular and ophthalmology procedures. Providers rendering the technical component (TC) of such services can expect ...