Articles - Page 2372

Medicare E/M Claims On Hold For New Patients

The Centers for Medicare & Medicaid Services (CMS) has identified issues with the implementation of change request (CR) 8165, which...

It’s not too late to avoid PQRS penalty and earn incentive

Even though it is nearly November and you may not have reported Quality Data Codes on claims this year, it’s...

Florida Medicaid requires Prior Authorization for B12 Injections

Cyanocobalamin (Vitamin B-12 injections, J3420) is reimbursed by Medicaid at the point of sale (without prior authorization) for dialysis patients only....

2014 List of New ICD 9 Procedure Codes

There are no new or revised or deleted ICD-9-CM diagnosis codes effective for October 1, 2013. There are no revised...

Health Insurance Claim Numbers (HICN)

Effective January 1, 2014 Medicare contractors are required to issue a notice of Medicare redetermination after an appeal is requested...

Influenza Vaccine Payment rates

CR 8433 provides payment allowances for the following seasonal influenza virus vaccine codes when payment is based on 95 percent...

Medicare Releases Guidelines For Model 4 Bundled Payments

The Centers for Medicare & Medicaid Services (CMS) is conducting a pilot program to test bundling payment for services that...

IACS Supported CMS Applications and Help Desk Contact Information

This CMS IACS User Guide provides the procedures to obtain an IACS User ID, manage an CMS IACS account, review...

Mandatory Reporting of Clinical Trial Number

Effective January 1, 2014, it will be mandatory to report a clinical trial coding number on claims for items and...

Check Medicare Claim Status Online

Earlier the status of Medicare claims can be obtained only through automated phone system but now all Medicare contractors are...

Physician signature requirements

Medicare requires that services provided / ordered be authenticated by the author. The signature for each entry must be legible...

Functional Limitation Reporting, G-Codes & Severity Modifiers

The following information is for therapy G codes 2019. The functional data reporting and collection system is effective for therapy...