1. Effective with date of service July 1, 2011, the ONLY immunization administration codes covered for Medicaid recipients in the Health Check age range, 0 through… Read More »North Carolina Medicaid – Billing Guidelines for Vaccines
CMS distributes a prospectively determined amount of uncompensated care payments to “Medicare disproportionate share hospitals” based on their relative share of uncompensated care nationally. As… Read More »Medicare Uncompensated Care Payments
CMS Releases Additional Medicaid & CHIP COVID-19 FAQs for State Medicaid and CHIP Agencies CMS released additional frequently asked questions (FAQs) to aid state Medicaid… Read More »COVID-19 Frequently Asked Questions (FAQs) – Released May 5, 2020
Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes CPT 99441—99443. The 4/30/20 rule adds these… Read More »Revised Guidelines for CPT 99441, 99442 & 99443
The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation and management visits (CPT codes… Read More »MAC will Reprocess the claims – Telephone E&M; Visits
As a part of President Trump’s Opening Up America Again effort, the Centers for Medicare & Medicaid Services (CMS) announced a new independent Commission that… Read More »CMS Announces Independent Commission to Address Safety and Quality in Nursing Homes
New Patient: (99201 has been deleted. To report, use 99202) 99202 Office or other outpatient visit for the evaluation and management of a new patient,which… Read More »Evaluation and Management (E/M) Effective January 1, 2021
LCD ID number: L36342 (Florida/Puerto Rico/U.S. Virgin Islands) After review of the local coverage determination (LCD) for screening and diagnostic mammography, it was determined to… Read More »Screening and Diagnostic Mammography — Retired Part A and Part B LCD
This would help your organization join the fight against Hepatitis B (HBV) infection by understanding what conditions are necessary for coverage of HBV screening and… Read More »Coding Guidelines for Hepatitis B Screening – Reimbursement Tips
DEFINITION OF BURN A burn is tissue damage with partial or complete destruction of the skin caused by heat, chemicals, electricity, sunlight, or nuclear radiation.… Read More »Coding Guidelines for Burn