New Updates On DOS, POS And TOS

New Updates On DOS, POS And TOS

DOS and POS: New rules have been created for DOS and POS if the physician performs only the Professional services (Professional Component). The date of service for the professional component should be the actual date of interpretation and the Place of service should be ’11’ if the interpretation is done in Office or in Physician Home…

National Correct Coding Initiative – NCCI & Medically Unlikely Edit – MUE

National Correct Coding Initiative – NCCI & Medically Unlikely Edit – MUE

National Correct Coding Initiative – NCCI Updates National Correct Coding Initiative is developed by CMS to promote correct coding techniques in order to eliminate incorrect coding leading to inappropriate payment. NCCI edits are pairs of CPT or HCPCS codes that normally should not be billed by the same physician for the same patient on the…

General Equivalence Mapping – GEM

General Equivalence Mapping – GEM

General Equivalence Mappings – GEMs is a tool to be used like a bi-directional translation dictionary that was developed by National Center for Health Statistics (NCHS), the Centers for Medicare and Medicaid Services (CMS), AHIMA, the American Hospital Association, and 3M Health Information Systems to assist with the conversion of International Classification of Diseases, 9th…

Coding Guidelines – Influenza, H1N1 & Pneumococcal Vaccines

Coding Guidelines – Influenza, H1N1 & Pneumococcal Vaccines

Influenza – An acute febrile highly contagious viral disease caused by RNA viruses that affects birds and mammals. Yearly vaccination would be the best way to prevent seasonal FLU. CDC’s National Immunization Program (NIP) recommends the high risk persons to get immunized against Influenza if a person is in any of the following category: 1. Children…

HCPCS level III Codes

HCPCS level III Codes

HCPCS level 3 codes came in to existence not before the year 2003. HCPCS level III codes are considered only as local codes and are not nationally accepted. These codes represent an item or service which is not included in the HCPCS level I and level II codes. Normally these codes would starts with an…

CPT – Category II Codes (2021)

Current Procedural Terminology (CPT) Category II codes contains a set of supplemental tracking codes for performance measurement and in turn decrease the need for record abstraction and chart review to minimize administrative burden on physicians, other health care professionals, hospitals and entities seeking to measure the quality of patient care. These codes do not serve…