Part B Insider (Multispecialty) Coding Alert
Medicare Wants Your Input
PDF
CMS- survey shows which carriers get high marks--and which don-t In other news- Do you need to append modifier QW (CLIA-waived test) to pregnancy test code 81025? How about metabolic panel code 80048?
CMS is eager to get feedback from physicians, providers and suppliers, but it hasn't heard from most of you yet.
The third annual Medicare Contractor Provider Satisfaction Survey (MCPSS) is underway, and only 32 percent of those invited to complete the survey have done so, although CMS would like to capture a 65 percent response rate before it closes out the survey next month.
CMS uses the survey to evaluate the performance of its contractors, so if you have a beef with your payer, now's the time to speak up.
-The MCPSS provides contractors with greater insight into their provider communities, and allows them to make process improvements based on provider feedback,- said CMS Acting Administrator Kerry Weems in a news release.
CMS will share the results of the survey in July.
You can use last year's results as a guideline of what type of information the survey will ask. For instance, last year's results indicated that on a six-point scale (with 1 being -not satisfied- and 6 denoting -completely satisfied-), fiscal intermediaries (FIs) averaged a satisfaction rating of 4.66, carriers rated a 4.42, and durable medical equipment (DME) contractors were scored 4.34.
More information on the program is available on the CMS Web site at www.cms.hhs.gov/MCPSS.
CMS has updated its listing of which tests hold CLIA-waived status, which require modifier QW, and which don't (and for the record, 81025 does not require QW to attain CLIA-waived status, but 80048 does require the modifier).
To read the full list of CLIA-waived lab tests, check out the new MLN Matters article MM5913 at www.cms.hhs.gov/MLNMattersArticles/downloads/MM5913.pdf.
CMS maintains that its competitive bidding program will be a huge advantage for Medicare beneficiaries, saving patients an average of 26 percent for some durable medical equipment, orthotics, prosthetics and supplies, according to a March 21 CMS news release. The first round of the program begins July 1 in 10 communities. For more information on the program, go online to www.cms.hhs.gov/CompetitiveAcqforDMEPOS.
Part B Insider (Multispecialty) Coding Alert
- MEDICARE FUNDING:
Medicare Program Risks Going Broke, Report Says
With Part A funding about to bottom out, Part B could be at risk as [...] - COMPLIANCE:
CMS Cracks Down on Device-Makers' Relationships With Docs
Avoid relationships that suggest incentives from manufacturers
If your physician is on the payroll of medical [...] - PART B SUCCESS STORY:
Different Specialists May Warrant Two Same-Day Consults
One practice reports success after deliberations with a Medicare payer
If you-ve ever battled Medicare over consult [...] - PART B REVENUE BOOSTER:
CMS Allows Expanded Payment forj At-Home Prothombin Time Tests
Now patients using warfarin for chronic atrial fibrillation or venous thromboembolism are covered
Last week, CMS [...] - READER QUESTION:
Document Time Spent on Counseling
Question: One of our insurers downcodes my E/M visits because the diagnoses don't support the [...] - Part B Coding Coach:
Get More Money With 2 PQRI Coding Details
Are you in? Medicare's second reporting period began in January
Thanks to PQRI's renewal, you-ve got [...] - Append Modifiers When Measure Isn't Met
Surprise: 'No action' still counts toward PQRI total
To successfully participate in the Physician Quality Reporting [...] - PHYSICIAN NOTES:
Medicare Wants Your Input
CMS- survey shows which carriers get high marks--and which don-t
CMS is eager to get feedback [...]