Jul 1st, 2012
By Ronda Tews, CPC, CHC, CCS-P Contrary to any rumors you may have heard, the electronic health record (EHR) must follow the same documentation requirements as its predecessor, the paper chart. If a detailed history is required to bill 99214 or 99203 in the paper record, it is still required to report 99214 or 99203 ...
Jul 30th, 2010
President Obama signed the Improper Payments Elimination and Recovery Act (IPERA) July 22. The bill is designed to cut waste, fraud, and abuse due to improper payments by federal government agencies. Areas with a history of improper payments, such as chiropractic services, will be targeted. President Signs “Improper Payments Elimination” Bill was last modified: July 5th, 2011 ...
In Audit
Jun 11th, 2010
Medicare payments for Neulasta injection claims paid by Wisconsin Physicians Service (WPS) from 2004 through 2007 were not always appropriate, according to a recent Office of Inspector General (OIG) report. These inappropriate Neulasta injection payments occurred because providers claimed excessive units of service, the OIG said. Providers subsequently contacted by WPS attributed the incorrect subm...
In CMS
Feb 15th, 2010
Beware of marketing material suggesting coverage for a wearable automatic external defibrillator (AED) is available immediately following a myocardial infarction and in several clinical situations. If it is not specified as such in your contractor’s Local Coverage Determination (LCD), it is not covered, warns Durable Medical Equipment Medicare Administrative Contractors (DME MACs). Check Your Autom...
In CMS
Jan 29th, 2010
On April 19, some providers currently serviced by Wisconsin Physician Service (WPS) will transition to jurisdiction 1 (J1), administered by Part A and Part B Medicare Administrative Contractor (A/B MAC) Palmetto GBA. Palmetto Prepares for WPS Transition was last modified: July 5th, 2011 by admin aapc...