03/05/18 | Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
 

You may have been experiencing feedback from a facility when trying to schedule your total knee replacements as inpatients. 

Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
 
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..
 
Archive - See All Entries

On Dec 14th the House Ways and Means   (http://waysandmeans.house.gov/news/documentsingle.aspx?DocumentID=364226)  (39-0) and Senate Finance Committees (http://www.finance.senate.gov/hearings/hearing/?id=d07b4651-5056-a032-5283-5915780f0ccf)  (voice vote) passed legislation to repeal and replace the Medicare sustainable growth rate (SGR) formula. The actions of the committees mark a major milestone in Congress' efforts to repeal the SGR as it clears the way for legislation to be considered before the full House and Senate next year.

Meanwhile, in a rare bi-partisan show of unity, the House passed (332-94) a budget package (http://budget.house.gov/the-bipartisan-budget-act-of-2013/) that includes a temporary "bridge" that will avert for 3 months an estimated 24% cut to Medicare physician reimbursements. The package also included a 0.5 percent update for providers over that same time period. The Senate is expected to take up and pass the House budget package next week before breaking for winter recess. NASS will continue to keep you apprised on the latest updates from Capitol Hill on these important matters as they become available.