Tag Archive | "hcpcs"

Find Out Which 4 Codes Are Off the DMEPOS 2018 Prior Authorization Master List

Friday, May 18, 2018

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DMEPOS had a 44 percent improper payment rate according to CERT’s 2017 Medicare FFS report. That’s high. Really high. So anyone submitting claims that fall under DMEPOS needs to be up on all the rules. One important area to watch is Medicare’s Master List of which codes require prior authorization. The recent annual update posted […]

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After July HCPCS Updates, Match These Meds to Correct Codes Faster

Monday, May 7, 2018

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Thinking about summer? You aren’t the only one! CMS has posted a file with five Q codes that will be effective July 1, 2018. If you code for any of these supplies, plan ahead so you’re ready to change your coding when July comes. Watch mg to Separate SublocadeTM Codes for Opioid Use Disorder First […]

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CMS Spring News: Check Out Special Enrollment Periods, QPP Resources, and Quarterly Updates

Monday, February 12, 2018

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How are you doing this February? I’m looking at some snow, myself. But these three news pieces from CMS show that spring is right around the corner. Don’t miss these deadlines on MIPS suggestions, special enrollment, and HCPCS Q2 implementation. 1. By March 1: Make Your Voice Heard on MIPS If you’ve got suggestions for […]

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INR Monitoring Code Changes Coming (But Old Faves Could Stick Around, Too)

Thursday, October 19, 2017

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If you code for anticoagulant management — and a lot of folks do — you’ll need to get a handle on some changes headed our way when CPT® 2018 is effective on Jan. 1, 2018. Here’s the scoop. Let’s Start With What’s In and What’s Out for CPT® Out: In CPT® 2018, these two codes […]

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Catch Up on the Latest HCPCS 2017 Updates for Ob-Gyn

Tuesday, August 8, 2017

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In “Learn the ABCs (and Zs) of IUD Coding” we covered HCPCS codes available for the supply of the IUD. But coding is ever-changing, and there’s a new option as of July 1 for Kyleena®. Check out that new option and other HCPCS changes effective July 1 relevant to ob-gyn. Tip: Want to see all […]

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Here’s What’s New in Q2 for CCI, MPFS, and HCPCS

Monday, March 27, 2017

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It’s almost April! In addition to a potential end to the yellow pine pollen covering every surface outside my home (yours, too?), April means second quarter updates to Correct Coding Initiative (CCI) edits, fee schedules, and HCPCS. Ready for some highlights? Let’s go! CCI for Moderate Sedation Goes Retro If you read this blog regularly, […]

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Get a Glimpse at Potential 2018 MACRA Coding Requirement for Patient Relationship Category

Friday, March 3, 2017

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There could be new HCPCS modifiers coming your way as part of MACRA to identify patient relationship categories. If the term “patient relationship categories” is new to you, then here’s a brief overview. MACRA requires patient relationship categories and codes as part of an effort to improve resource attribution to clinicians. So there’s a look […]

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HCPCS 2017: Which Supplies & Services Made the Leap Away From C Codes?

Friday, January 20, 2017

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In the world of HCPCS, C codes are a special bunch. CMS initially created C codes for use on Hospital Outpatient Prospective Payment System claims, but rule changes now allow a limited number of other providers to use the codes, too, such as Critical Access Hospitals and Indian Health Service hospitals. Restrictions on reporting C […]

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Have You Checked the HCPCS Corrections File? Lab Coders, I’m Looking at You

Friday, January 6, 2017

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If you code for drug testing, retinal prostheses, or seat lift mechanisms, the HCPCS 2017 corrections document has some items of interest aimed directly at you. Where Is the HCPCS Corrections File? The CMS website includes an Alpha-Numeric HCPCS page. You can download the current code set as well as a couple of the past […]

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5 Quick Tips to Improve Your Portable X-Ray Coding and Avoid Denials

Friday, July 15, 2016

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Completing Medicare claims for portable X-ray services can be tricky with some unexpected twists. These five tips will help keep your coding on track. 1. Choose the Right HCPCS Portable X-Ray Transportation Code To report the transportation of your portable X-ray equipment and staff, choose from two codes: R0070, Transportation of portable X-ray equipment and […]

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