Tag Archive | "hcpcs"

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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Which Modifier Goes First? Get Clued In or Face the Consequences

Tuesday, July 12, 2016

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You’ve got a claim with a code that requires modifier 26 (Professional component) and modifier 50 (Bilateral component). Which should you append first? According to J8 Part B MAC WPS, the Multi-Carrier System (MCS) for claims processing has specific requirements. Buck the system and processing delays may be your reward. Put Pricing Modifiers First to […]

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Stay Off CMS’s ‘Outlier’ Radar – Append Modifiers With ABNs

Thursday, September 3, 2015

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You may have wondered whether you really need to bother with appending modifiers when you issue advance beneficiary notices (ABNs), those documents that your patients sign before you provide a required service you believe Medicare will not cover. If you expect a denial for the service, taking time for modifiers may seem unnecessary. Perhaps knowing that the […]

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