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Billing news
Modified: 5/16/2013
It has come to our attention that the MPPR will be applied to global procedure codes 93224, 93268, and 93784 due to each code containing two technical components. [CR 7848]
Modified: 5/11/2013
The Centers for Medicare & Medicaid Services (CMS) has announced the contract suppliers for round 2 and the national mail-order program of the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program. [PERL 201304-03]
Modified: 5/9/2013
The Centers for Medicare & Medicaid Services released the quarterly update to the Healthcare Common Procedure Coding System (HCPCS) drug/biological codes, revising codes for claims with dates of service on or after July 1, 2013. [MM8286]
Modified: 5/5/2013
Learn which modifier to use when you expect Medicare will deny a claim that does not meet medical necessity criteria and whether you have or do not have an advanced beneficiary notice (ABN) signed by the beneficiary. [CR 7228]
Modified: 4/25/2013
Are you receiving MUE claim denials due to bilateral procedures? Unsure if you should bill modifier RT, LT or 50? This article provides clarification on how modifier 50 should be billed.
Modified: 4/25/2013
The Centers for Medicare & Medicaid Services (CMS) implemented date of service (DOS) medical unlikely edits (MUEs), maintained by the National Correct Coding Initiative (NCCI), for some codes effective April 1, 2013
Modified: 4/25/2013
This article was revised April 11 to remove a note box that had appeared on page 5. All other information remains the same. [SE1213]
Modified: 4/10/2013
This article was revised April 8 to reflect the revised change request (CR) 8056 issued April 5. In this article, the CR release date, transmittal number, and the Web address for accessing CR 8056 were revised. All other information remains the same. [MM8056]
Modified: 4/9/2013
The Centers for Medicare & Medicaid Services (CMS) has updated its frequently-asked questions regarding billing Medicare for transitional care management services.
Modified: 4/3/2013
With appeal rights limited for denied duplicate claims, the Centers for Medicare & Medicaid Services (CMS) advises all providers to review correct coding criteria to ensure non-duplicate claims do not get caught up with duplicate claim screens. [MM8121]
Modified: 3/28/2013
Providers who treat beneficiaries for age-related macular degeneration may be interested in a report from the Office of the Inspector General on the same subject. [CR 8247]
Modified: 3/27/2013
The Centers for Medicare & Medicaid Services has awarded the jurisdiction E contract for the administration of the Part A and Part B Medicare fee-for-service claims in Illinois, Minnesota and Wisconsin to California, Hawaii, Nevada, American Samoa, Guam and the Northern Marianas to Noridian Administrative Services, LLC (NAS). [CR 8226]
Modified: 3/5/2013
It has come to our attention that the MPPR will be applied to global procedure codes 93224, 93268 and 93784 due to each code containing two technical components. [CR 7848]
Modified: 2/28/2013
FCSO is implementing a pre-payment edit on April 16, 2012, that will be applied to office visit E/M claims (codes 99201-99205 and 99212-99215) billed with the 24 modifier.
Modified: 2/17/2013
This article refers to denials when Medicare is the secondary payer during the coordination period of 30 months required for beneficiaries that are eligible for Medicare due to an ESRD diagnosis.
Modified: 1/22/2013
The interest period begins on the day after payment is due and ends on the day of payment. The new rate of 1.375 percent is in effect January 1, 2013, through June 30, 2013. [Publication 100-04, Chapter 1, Section 80.2.2]
Modified: 10/25/2012
To correct claims returned for beneficiary name and number mismatch, take the following action. [CR 7260]
Modified: 6/15/2012
This information outlines the process for the 935 recoupment.
Modified: 4/21/2011
First Coast Service Options, Inc. (FCSO) recently became aware of a disparity in the billing of screening mammography versus diagnostic mammography services in Puerto Rico.
