Part B News
01/01/2017
by: Centers for Medicare & Medicaid Services
Chapter XI
Medicine, Evaluation and Management Services
CPT Codes 90000 - 99999
A. Introduction
The principles of correct coding discussed in Chapter I apply to the CPT codes in the range 90000-99999. Several general guidelines are repeated in this chapter. However, those general guidelines from Chapter I not discussed in this chapter are nonetheless applicable.
01/01/2017
by: Centers for Medicare & Medicaid Services
Chapter XII
Supplemental Services
HCPCS Level II Codes A0000 - V9999
A. Introduction
The principles of correct coding discussed in Chapter I apply to HCPCS codes in the range A0000-V9999. Several general guidelines are repeated in this chapter. However, those general guidelines from Chapter I not discussed in this chapter are nonetheless applicable.
01/01/2017
by: Centers for Medicare & Medicaid Services
Chapter XIII
Category III Codes
CPT Codes 0001T – 0999T
A. Introduction
The principles of correct coding discussed in Chapter I apply to the CPT codes in the range 0001T-0999T. Several general guidelines are repeated in this chapter. However, those general guidelines from Chapter I not discussed in this chapter are nonetheless applicable.
12/19/2016
A new year means new patient deductibles — some of them enormous. And if you wait until January to get ready for patients with unmet deductibles, you’ll take a cashflow hit.
12/19/2016
Don’t panic if you discover the Oct. 1 roll out of new and revised diagnosis codes triggered quality reporting bloopers for one or more providers at your practice. CMS announced in a Dec. 13 email that it will cut those providers a break.
12/19/2016

It’s now more important than ever for physicians to check what pharmaceutical and medical device manufacturers have reported about payments made to them. The HHS Office of Inspector General (OIG) has decided that those payments warrant further scrutiny and has added it as a new topic of investigation to its 2017 Work Plan.

12/19/2016
Hospital billing offices should be careful when reporting claims for stem cell transplants involving CPT codes 38240 and 38241 because many are billed under inpatient status when they should really go to Medicare administrative contractors (MACs) under Part B.
12/19/2016
Question: A lawyer told us that when “shall” appears in official guidance, it means “must.” For example, because the CPT manual says that when counseling and/or coordination of care is more than 50% of an encounter, “time shall be considered the key or controlling factor to qualify for a particular level of E/M services….” He says that means we have to bill based on time for those encounters. Is he right?
12/19/2016
Question: What are the levels of supervision required for phlebotomy, injections or other services of medical assistants and nurses in the office setting? Please list source or link to the Medicare fee schedule database that you reference in your article.
12/19/2016
Be careful before you open what appears to be a routine email related to HIPAA auditing because it may be a cleverly disguised scam email, warns HHS.

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