Marina Gregory
In November of 2017, I attended the annual AMA CPT and RBRVS 2018 Symposium (Whew! What a mouthful!) in Chicago where I learned a ton about the new and revised codes for this year.
CJ Wolf
It’s been almost two years since CMS’ final rule on Reporting and Returning of Overpayments went into effect.
Healthicity
1. Virgil Dickson, Regulatory and Policy Reporter at Modern Healthcare
Most recent piece: Medicare Sticks with Mandatory Bundled-Pay Demo, But Tom Price Likely to Intervene.
CJ Wolf
On November 30th, the OIG posted its Semiannual Report to Congress. The report is a summary of the OIG’s activities from April 1, 2017 to September 30, 2017.
CJ Wolf
For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.
Healthicity
1. Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 - “Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 Parkridge Medical Center, Inc. (the Hospital), located in Chattanooga, Tennessee, complied with Medicare billing requirements for 88...
Stephani Scott
The Medicare Access and CHIP Reauthorization Act (MACRA)
The Medicare Access and CHIP Reauthorization Act (MACRA) of April 2015 will not only significantly change physician reimbursement, it will also change how we audit for correct coding and documentation.
Healthicity
1. CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims - “Medicare Part B paid for some immunosuppressive drugs billed with the KX modifier that were not eligible for Part B payment.
