Part B Insider (Multispecialty) Coding Alert
Look for New CLIA-Waived Tests Effective July 1
PDF
Plus: OIG zeroes in on inappropriate Neulasta payments. You'll have 12 new tests that you'll be able to report as "CLIAwaived," thanks to a May 28 CMS transmittal on the matter. According to MLN Matters article MM6906, CMS will now consider these tests CLIA-waived effective July 1. You'll have to append modifier QW (CLIA-waived test) to these codes, which include the following, among others: Phamatech QuickScreen One Step THC Screening Test -- G0431 Acceava Mono Cassette (for whole blood) -- 86308 Care Diagnostics Clarity IFOB test -- 82274 and G0328 The article indicates that "effective July 1, 2010, CPT code 80101 (Drug screen, qualtiative; single drug class method [eg, immunoassay, enzyme assay], each drug class) will no longer be covered by Medicare, and 80101QW was deleted on April 1, 2010." It also states that "the test code G0431 (Drug screen, qualitative; single drug class method [e.g., immunoassay, enzyme assay], each drug class) is a direct replacement for CPT code 80101." To read the complete list of new CLIA-waived tests, visit www.cms.gov/MLNMattersArticles/downloads/MM6906.pdf.
Part B Insider (Multispecialty) Coding Alert
- Part B Payment:
Part B Claims Remain in Holding Pattern Through June 17
MACs won't process June claims until June 18, in hopes that Congress acts by then.The [...] - Diagnosis Coding:
The 2013 Date for ICD-10 Implementation Won't Change, CMS Says
Plus: CMS has proposed freezing the ICD-9 codeset after next year. If you were hoping [...] - Compliance:
OIG Has Recovered Over $3 Billion So Far in 2010
Audits and investigations brought in big money for the government over a six-month period, new [...] - Government Accountability Office Identifies CMS's 5 Major Challenges in Fighting Fraud
Resolving these roadblocks may be the key to collecting additional funds, new testimony indicates.Although the [...] - Hospice:
Hospice Use May Grow If Concurrent Care Demo Takes Off
PPACA isn't all bad news for hospice providers.Many terminally ill patients refuse to elect Medicare's [...] - Part B Coding Coach:
Cataracts: Break Down Your Coding for Best PC-IOL Payments
Medicare won't cover the full cost, but splitting the bill into covered and non-covered portions [...] - When Is Cataract Removal 'Complex'?
Don't miss these 66982 coding clues that could earn your practice over $270.When an ophthalmologist [...] - Physician Notes:
Look for New CLIA-Waived Tests Effective July 1
Plus: OIG zeroes in on inappropriate Neulasta payments.You'll have 12 new tests that you'll be [...] - In other news...
coding for this drug during a recent audit, so ensure that you aren't making these [...]