[QUOTE="csperoni, post: 505626, member: 164618"]
I think you are misreading the link you provided.
"When the physician bills for such a split (or shared) visit, in accordance with section 1833(a)(1)(N... [ Read More ]
[QUOTE="jessicaparker1, post: 505621, member: 30914"]
I was reading the Federal register ([URL]https://public-inspection.federalregister.gov/2021-23972.pdf[/URL]) page 422 and it's only mentioning 85%... [ Read More ]
Because the 85% paid to QHPs is in relation to the physician fee schedule rate. You may have to take the attending through the sections of the SSA listed below.
[QUOTE]
When the physician bills for s... [ Read More ]
Section 13405(a) of the [URL='https://www.hhs.gov/sites/default/files/ocr/privacy/hipaa/understanding/coveredentities/hitechact.pdf']Hitech Act[/URL] speaks to the individual's ability to request that... [ Read More ]
I'm not an expert when it comes to radiology coding. However, I did find this on the [URL="https://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/downloads/clm104c13.pdf"]Medicare Claims Proces... [ Read More ]
Per the Federal Register, Vol. 78, No. 17, the HIPAA rules state:
“With respect to Medicare, it is our understanding that when a physician or supplier furnishes a service that is covered by Medicar... [ Read More ]
The final rule was released in mid-November and designates modifier FX for this:
"[I]Beginning January 1, 2017, claims for imaging services that are X-rays taken using film must include the modifie... [ Read More ]
According to a webinar I listened to with Peach New Media by Marvel J Hammer she stated that "Section 523(a) of the MACRA of 2015 added a new paragraph at section 1848(c)(8) of the Act that prohibits ... [ Read More ]
Know where to find the proof you need to support your coding billing or auditing. As a medical auditor biller or coder you cant expect a physician to take kindly to you telling them how they need to d... [ Read More ]
There is a new version of the CMS855I Medicare Enrollment Application which physicians and nonphysician practitioners may begin using immediately.Medicare Administrative Contractors will accept the pr... [ Read More ]
Knee orthoses are one of the highest sources of errors a letter from CGS to providers warns and the Medicare Administrative Contractor8217s MAC wants providers to be more carefulwith documentation and... [ Read More ]
In a Notice of Proposed Rulemaking released April 27 the Centers for Medicare 38 Medicaid Services CMS took agiant step toward a qualitybased payment system. The proposed rule sets out to establish th... [ Read More ]
The Centers for Medicare 38 Medicaid Services CMS on November 10 issued a proposed decision memo regarding national coverage for percutaneous left atrial appendage closure LAAC. The agency is proposin... [ Read More ]
