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Heads up if your practice reports consults to UnitedHealthcare’s commercial policy: the payer will start to phase out coverage of codes 99241-99255 on June 1.
The start date for Medicare administrative contractors (MACs) to expand coverage terms for patients in need of an implantable cardiac defibrillator (ICD) has been delayed a month, CMS said in a Feb. 26 policy update.
Longtime watchers of Medicare’s Correct Coding Initiative (CCI) were shocked to see a note recently on the CMS website that Medicare’s long-time CCI contractor, Carmel, Ind.-based Correct Coding Solutions LLC, is taking itself out of the claims-processing software business after 23 years.

A description that is short but not too simple is the challenge posed by claims with unlisted or not otherwise classified codes.

Providers operating within the jurisdiction of National Government Services (NGS) should take stock of their recent chronic care management (CCM) claims. You may be seeing errant denials on good claims.

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