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
 
Archive - See All Entries

Medicare announced that they have changed the Medicare Fee Schedule for Jan 1 - March 31st as part of a last minute technical correction. CMS has revised the Jan. 1 through March 31 conversion factor from $35.8013 to $35.7547. So the MACs have to have time to remove the current fee schedule and place the new changes, and CMS is giving them to have this  information posted no later than Jan. 20, 2015. In order to facilitate corrections and provide time for contractors to update their payment files, CMS issued the following announcement regarding processing of Medicare claims during the first two weeks of January:

"Holding of 2015 Date-of-Service Claims for Services Paid Under the 2015 Medicare Physician Fee Schedule

 On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register. In order to implement corrections to technical errors discovered after publication of the MPFS rule and process claims correctly, Medicare Administrative Contractors will hold claims containing 2015 services paid under the MPFS for the first 14 calendar days of January 2015 (i.e., Thursday January 1 through Wednesday January 14). The hold should have minimal impact on provider cash flow as, under current law, clean electronic claims are not paid sooner than 14 calendar days (29 days for paper claims) after the date of receipt.

MPFS claims for services rendered on or before Wednesday Dec 31, 2014 are unaffected by the 2015 claims hold and will be processed and paid under normal procedures and time frames.

You can get the files at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Relative-Value-Files-Items/RVU15A.html?DLPage=1&DLSort=0&DLSortDir=descending

Full details: http://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Provider-Partnership-Email-Archive-Items/2014-12-29-enews-SE.html