Part B Insider (Multispecialty) Coding Alert
Intestine Transplant Facilities Still Must Have 10 Surgeries Per Year
Published on Sun May 28, 2006 
PDF
PDF
CMS won't change its current rule for approving intestinal transplant facilities, the agency announced in National Coverage Decision memo 168. Medicare only allows intestinal and multi-visceral transplantation in facilities that have at least 10 intestinal transplants a year. Also, the facilities must have a one-year "actuarial survival rate" of at least 65 percent, meaning two-thirds of patients live a year after the procedure.
Providers had asked CMS to loosen the criteria for transplant facilities, but the agency reviewed the evidence and decided that the evidence supported the current policy.
Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- RECOVERY AUDIT CONTRACTIONS:
Keep An Eye On The Charts Requested by 'Bounty Hunters'
If the RACs recycle your appealed claims, contact CMS
The Recovery Audit Contractors, which have been looking [...] - MODIFIERS:
Prepare Now For Modifier 25 Crackdown
Make sure your documentation is in order before billing separate E/M services
- ENROLLMENT:
Deadline To Obtain NPIs For New Doctors Is Coming Up
Warning: Carriers won't give you any leeway on enrollment jam
If you don't have national provider identifiers [...] - Intestine Transplant Facilities Still Must Have 10 Surgeries Per Year
CMS won't change its current rule for approving intestinal transplant facilities, the agency announced in [...] - MEDICALLY UNBELIEVABLE EDITS:
Believe It Or Not,You May Be Able To Bill For Unlikely Services
Watch out for MUE proposal in August
Good news: You may not have another smothering layer [...] - 3 CMS Sites Provide Info On Medicare Services, Plus Training Opps
If you're still trying to decide whether to enroll in the Competitive Acquisition Program (CAP) [...] - TRANSMITTALS:
Speak Up To Keep Bad Local Policies From Spreading
Stop using the obsolete QV modifier for PET scans
If you like your carrier's Local Coverage [...] - Moratorium On Physician Ownership Of Specialty Hospitals Sunsets
Medicare could lead a new crackdown on your doctor's investments in specialty hospitals (which only [...] - ORTHOPEDIC:
Avoid Allograft Coding Conundrums With This Advice
Tip: Only report CPT Codes 20931 once per surgery
If you’re still scratching [...] - UROLOGY:
4 Examples Break Down Coding For Bladder Tumor Removal
Learn why tumor size can make all the difference
You could land [...] - PODIATRY:
Walk A Straight Line To Accurate PT Reimbursement
You are allowed to report 97001-97546
You can receive payment when you perform physical therapy (PT) [...] - NEUROLOGY:
Reader Question--Say Farewell To G0355 For Avonex Administration
Question: Last year, a number of carriers--but not all--changed their coding preferences for Avonex injections [...] - OPHTHALMOLOGY:
Keep Your Eyes Peeled For Covered Cornea Remodeling Services
AK fixes can earn your practice money--if Medicare deems them medically necessary
[...] - INTERNAL MEDICINE:
Earn Extra Dollars For Certain Hearing Services
Here’s how one procedure could put $50 in your pocket
Don’t miss [...] - GENERAL SURGERY:
Cut To The Mesh Placement Chase With These Clues
New change: 49658 is now bundled into all hernia repairs
If you [...] - Part B Coding Coach:
3 Tips To Tackle Your TIPS Coding Woes
Important: Avoid costly ICD-9 mistakes and differentiate between insertion and revision
Accurately [...] - Solve The TIPS Medically-Necessary Dilemma At Last
Before you code for transvenous intrahepatic portosystemic shunt (TIPS), you must know when the procedure [...] - PHYSICIAN NOTES:
Physician Kickbacks Lead To Record Payout
Doctor prescribed Oxycontin to random patients, gets 150 months
If you didn’t [...]
View All