07/10/17 | New Category III codes effective Jan 1st, 2018
 

You will want to update your bone marrow aspiration coding for 2018 as well as some adipose-derived cell therapy for hands

New Category III codes effective Jan 1st, 2018
 
07/10/17 | Spinal surgery
 

If you do any spinal surgery you want to be aware of the Medicare changes that are taking place regarding number of levels, number of cages as well as diagnosis issues.

Spinal surgery
 
06/10/16 | CMS starting to list ICD-10s not covered
  Unspecified ICD-10 codes be careful
CMS starting to list ICD-10s not covered
 
07/09/15 | Total joint issues from CMS
  Total joint issues from CMS
Total joint issues from CMS
 
12/31/14 | Holding claims and fee schedule issues for 2015
  Medicare wants claims held starting Jan 1, 2015
Holding claims and fee schedule issues for 2015
 
08/20/14 | Medicare finally catching on that modifier 59 is not enough
 
Medicare finally catching on that modifier 59 is not enough
 
07/22/14 | Keep an eye on your private payer contracts..
 
Keep an eye on your private payer contracts..
 
07/22/14 | Proposed 2015 Fee Schedule is out
 
Proposed 2015 Fee Schedule is out
 
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CMS delays Medicare Phase 2 ordering/referring requirement

The Centers for Medicare & Medicaid Services (CMS) recently announced that it is delaying Phase 2 of the Medicare ordering/referring edits, which were scheduled to go into effect today, May 1. CMS cited technical issues as the cause of the delay, and the agency will announce a new implementation date in the near future.

These requirements apply to ordered or certified items and services including DMEPOS, clinical laboratory and imaging services, and home health claims billed by Medicare Part B suppliers. As part of these requirements, an ordering or certifying provider must have an enrollment record in Medicare, must be of a specialty that is eligible to order/certify in Medicare, and that physician's legal name and national provider identifier must be listed on the claim. It is important for practices to understand the criteria and to look for the warnings that are currently being used to avoid future claims denials.