Part B News

by: Charles Fiegl Jan 20, 2011

Here's CMS's full statement on claims denials involving providers billing the new annual wellness visit exam. CMS has investigated complaints that claims submitted by physicians for the new Annual Wellness Visit that went into effect on January 1, 2011, are being improperly denied, and has determined that this is not a national problem, but that there are a few contractors that have improperly denied these claims.

Repeal and replace with what?

by: Charles Fiegl Jan 18, 2011

Debate on repealing the Patient Protection and Affordable Care Act of 2010 will begin with consideration of H.R. 2 -- Repealing the Job-Killing Health Care Law Act of 2011 (pdf) -- this afternoon. Following its probable passage this week, the House will consider another resolution that instructs committees “to report legislation replacing the job-killing health care law” (pdf).

CMS updates claims codes for workers comp

by: Grant Huang Jan 17, 2011

CMS is focusing on workers compensation payments in its latest round of changes to the list of Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) that are sent to you from payers. A total of three new CARCs and RARCs are being added, while seven are being modified. You will start seeing the new codes appearing on affected claims in April, when the changes are implemented, according to Transmittal 2131 to the Medicare Claims Processing Manual, released Jan. 7.

by: Charles Fiegl Jan 13, 2011

CMS has suggested the following timeline for ICD-10 implementation at physician practices:

Phase 1: January 2009 to June 2011
Phase 2: January 2011 to June 2013
Phase 3: January 2013 to September 2013
Phase 4: October 2013 to December 2014

The timing and length of each phase depends on the size and scope of each practice, and you can expect some overlap between the phases, CMS says.

CMS delays requirement for signatures on labs

by: Grant Huang Jan 10, 2011

CMS is freezing a rule that would require your physicians and non-physician providers (NPPs) to sign requisitions for lab tests. This requirement, introduced in the 2011 Physician Fee Schedule (PFS) final rule, was to take effect Jan. 1, 2011 and would've applied to all lab tests paid under the clinical laboratory fee schedule. We covered this issue of lab signatures in a recent edition of the NPP Report.

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