In Billing
Jan 30th, 2019
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT ...
In Audit
Aug 30th, 2017
One week after the release of the 2018 ICD-10-CM Official Guidelines by the Centers for Disease Control and Prevention (CDC), the agency released an errata with updated rules for diabetes mellitus, hypertension, and principal diagnosis. And while some publishers, like AAPC, were able to put their ICD-10-CMs to press with the new guidelines, it was too ...
In CMS
Oct 12th, 2016
The ICD-10-CM grace period offered by Medicare and some private payers – allowing the submission of less specified codes without penalty – has ended, just as the Centers for Medicare & Medicaid Services (CMS) prepares to roll out more than 7,000 changes to the code set. Providers will need to update their ICD-10-CM and ICD-10-PCS ...
Jul 13th, 2016
Hospital outpatient facilities paid under the Outpatient Prospective Payment System (OPPS) could see an estimated 1.55 percent payment increase in 2017; and ambulatory surgical centers (ASCs) are looking at a multi-factor productivity-adjusted Consumer Price Index for all urban consumers update of 1.2 percent, according to a proposed rule the Centers for Medicare & Medicaid Services ...
In CMS
May 23rd, 2016
The July 2016 update to the Outpatient Prospective Payment System (OPPS) includes key changes to, and billing instructions for, various payment policies, as indicated in the 2016 OPPS final rule. Revisions to Intensity Modulated Radiation Therapy (IMRT) Codes Transparent The Centers for Medicare & Medicaid Services (CMS) revised IMRT planning billing instructions, per the 2016 OPPS final rule, ...