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Here’s one change to look out for on Dec. 1, when the proposed changes to the ASC X12 claim form is released: The new format could require providers to include the device identifier (DI) segment of the unique device identifier for implanted devices such as pacemakers or defibrillators.

It’s only one Medicare administrative contractor (MAC) at the moment, but expect others to join this prohibition against handwritten entries on claims.

CMS finalized its decision not to have a national policy for Medicare coverage of gender reassignment surgery; instead, individual Medicare administrative contractors (MACs) will decide whether to cover the procedure.

CMS said in an April 13 provider call that to bill advance care planning (ACP) without a preventive service, you need to show the service is “relevant to the patient’s disease state,” which would seem to mean it requires a diagnosis code.

A report live from this year's AAPC HealthCon shows some payers are accepting X modifiers in place of modifier 59 and more.

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