Part B Insider (Multispecialty) Coding Alert
Physician Notes:
Remember Timely Filing Rules Going Forward
Published on Sat Nov 13, 2010 
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Plus: Hire someone who the OIG considers 'excluded' and you'll pay dearly. Remember: You have only 12 months to file a claim after you furnish services to a Part B patient for dates of service Jan. 1, 2010 and thereafter, thanks to provisions in the Patient Protection and Affordable Care Act. Although you may have already heard this news several times before, CMS sent out a reminder email this week to ensure that practices are aware of these timely filing rules. Plus:
Good idea:
Run a report through your practice management software to ensure that you don't have any lingering claims for those dates of service, and if you do, submit them to your MAC immediately, or you'll forfeit those charges.Other Articles in this issue of
Part B Insider (Multispecialty) Coding Alert
- Part B Payment:
Congress Passes 1-Year Medicare Pay Fix
New legislation ensures that you'll avoid the scheduled 25 percent drop in Medicare pay next [...] - Annual Wellness Visits:
G0438-G0439: Medicare Puts Details of Annual Wellness Visit in Writing
Medicare creates new denial codes that will apply when you bill AWV incorrectly.CMS has finally [...] - CPT 2011:
99224-99226: Never Report New Subsequent Observation Codes on the Same Day As Other E/M Code
Plus: CPT clarifies how you should calculate time when using it to pick an E/M [...] - CPT 2011:
11042-11047 vs. 97597-97602: CPT Differentiates Between Debridement and Active Wound Care
Just one documentation bullet separates these two items.If you were confused about when to choose [...] - Electronic Health Records:
Avoid These EHR Coding Pitfalls -- And Collect Your Share of the $44,000 Per-Physician Federal Incentive Bonus
If your EHR is prompting you to check one more exam area so you can [...] - Reader Questions:
Can Provider Change Tax ID?
Question: One of our physicians wants to stop billing under the group's tax ID and [...] - Reader Questions:
38221 + E/M -- Here's How
Question: Sometimes our doctor sees a patient for the first time; performs an E/M complete [...] - Reader Questions:
Know the Rules for 'Calming Shots'
Question: One of our patients was on his way to have an MRI at the [...] - Physician Notes:
Remember Timely Filing Rules Going Forward
Plus: Hire someone who the OIG considers 'excluded' and you'll pay dearly.Remember: You have only [...] - In other news...
Don't forget to check the HHS Office of Inspector General's exclusion list when you hire [...]
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