Part B Insider (Multispecialty) Coding Alert
In other news ...
Published on Fri Mar 12, 2010 
PDF
PDF
'CMS has issued scores of documentation regarding the fact that ordering/referring providers' NPIs must appear on your claims, but has not released one comprehensive document on the subject -- until now. New MLN Matters article SE1011 sums up the regulations and solidifies the timeline of when CMS will institute the edits. Currently, if you submit a claim without the referring/ordering physician's NPI and that information is not in the MAC's system, you will get a warning letter, but effective Jan. 3, 2011, you could face denials. To read the fact sheet, visit www.cms.gov/MLNMattersArticles/downloads/SE1011.pdf.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- MEDICARE PAY:
21 Percent Pay Cut Kicked in April 1 -- But MACs Are Holding Claims
No legislative wrangling can take place until Apr. 12. Unless Congress steps in soon,you could [...] - BILLING:
Know 2 Ways the New Health Care Law Impacts Medicare Pay
Hint: Timely filing rules will change, giving you less time to submit your claims going [...] - COMPLIANCE:
Learn These Essential Compliance Truths Before You Run Afoul of the OIG
Practice size does not matter when dealing with compliance -- even solo practitioners have to [...] - CMS FORMS:
Start Preparing Your Software Systems to Get Ready for the HIPAA 5010 Form
CMS reps offer advice on how to ensure that you're prepared for the new "universal [...] - READER QUESTION:
Base Diagnosis Coding for Bruises on the Patient's Symptoms
Look for the cause of the bruising before you select the appropriate ICD-9 code from [...] - PART B CODING COACH:
Four Q&As Help You Fall in Line With Heart Disease Screening Criteria
Don't forget the appropriate E/M code if the patient presents with a separate complaint. Keeping [...] - PHYSICIAN NOTES:
Health Care Legislation Extends Therapy Cap Exceptions Process and Lab Billing Moratorium
Plus: CMS issues comprehensive guidance regarding the ordering/referring provider edits. Outpatient therapy providers and labs [...] - In other news ...
'CMS has issued scores of documentation regarding the fact that ordering/referring providers' NPIs must appear [...] - PART B CODING COACH:
Build Bone Density Scan Success With These 3 Coding Keys
Stronger claims come from choosing correct scan types and diagnoses. Paying attention to three details [...]
View All