Part B Insider (Multispecialty) Coding Alert
Physician NPI Directory Scheduled At Last
PDF
HHS to make info available on the Internet
You finally have a date that you can expect a National Provider Identifier (NPI) directory for referring physicians- NPIs.
The Centers for Medicare & Medicaid Services will issue the NPI information June 28 as drawn from National Plan and Provider Enumeration System (NPPES) data.
-Anyone may request NPIs and other NPPES health care provider data from [the Department of Health and Human Services],- HHS says in a May 30 Federal Register notice. -HHS will make NPPES health care provider data available on the Internet.-
HHS won't release sensitive information such as physicians- social security numbers, tax numbers and dates of birth. But other NPPES data will be in the directory. -We believe that making these data available on the Internet is the most efficient and effective means of dissemination,- HHS says.
Resource: For more information go to: www.cms.hhs.gov/NationalProvIdentStand.
Compliance risk: If you don't have your NPI now that the May 23 deadline has passed, you are courting trouble. -At this point, any covered entity that is noncompliant, and has not implemented a contingency plan, is at risk for enforcement action,- CMS warns in a message to providers.
CMS- contingency plan guidance -does not mean that providers have an extra year to get an NPI,- CMS cautions. Under CMS- plan, providers should be using their own NPIs but can still use the previous -legacy- billing numbers for referring physicians.
Try this: -Medicare is now asking that submitters send a small number of claims using only the NPI,- CMS instructs providers. -If no claims are rejected, the submitter can gradually increase the volume.-
Part B Insider (Multispecialty) Coding Alert
- DURABLE MEDICAL EQUIPMENT:
Master DME Accreditation Now -- Or Risk Falling Behind - ENROLLMENT:
Physician NPI Directory Scheduled At Last
HHS to make info available on the Internet
You finally have a date that you can [...] - Comment Now On Revised ABN
You can have another crack at commenting on the general Advance Beneficiary Notice (ABN). The [...] - PART B REVENUE BOOSTER:
If It's In Your Log, It Should Be In Your Charge Sheet
Get some closure by billing 13160 for a return to the OR
Times are getting tougher, [...] - The 59 Modifier Is Not A Free Pass
Warning: You should only use modifier 59 to report nail debridement code CPT 11720 [...] - REIMBURSEMENT:
Could Your Practice Survive Wtih 40 Percent Less Cash?
'Bounty hunters' won't cover the costs of your appeals
Your Medicare payments face a cut of [...] - If You Only Report 2 Quality Measures, Make Sure You're Not Missing A Third
The Centers for Medicare & Medicaid Services (CMS) will be posting worksheets to help you [...] - DURABLE MEDICAL EQUIPMENT:
Your Doctors Can't Dispense DME To Anyone Else's Patients
Prepare for hassles with winning DME bidders
Attention: Now's the time to make sure your physicians- [...] - Part B Coding Coach:
Test Your Review-Of-Systems Knowledge For More Accurate Claims
2 expert scenarios help hone your E/M coding skills
Before you report any E/M procedures, look [...] - 8 Key Tips Help You Reach The Right HPI Level Every Time
Understanding each patient's history of present illness (HPI) is key to top-notch E/M coding. If [...] - PHYSICIAN NOTES:
Watch Out For These Common Billing Errors
Prepare to bill Medicare for ultrasound cardiac monitoring
You can't write the word -SAME- to indicate [...]