This edition includes the latest information on the partial freeze of the ICD-10 implementation and the October 2012 outpatient prospective payment system and integrated outpatient code editor updates.
This edition includes information on the prepayment medical review requirement for all therapy services above $3,700 provided by speech language therapists, physical therapists, occupational therapists, and physicians.
This edition includes information on the ruling that makes final a one-year proposed delay -- from October 1, 2013, to October 1, 2014 -- in the compliance date for use of new codes that classify diseases and health problems.
This edition includes information on an update to hospice payment rates, reporting of recoupment for overpayment on the remittance advice with the patient control number, and billing and coverage for drug wastage.
This edition includes information on a new edit to review outpatient prospective payment system payments exceeding charges, healthcare provider taxonomy code updates, and billing Medicare secondary payment claims.
This edition includes information on two new processes implemented to prevent fraud and abuse, correctly submitting secondary payer claims, and the April update to the Medicare physician fee schedule database.
This edition includes information on enrolling ordering and referring physicians using the CMS-855O form, the delay of the paperwork (PWK) segment of version 5010, and the April outpatient prospective payment system (OPPS) update.
This edition includes information on the Obama administration's efforts to fight fraud, the 2012 enrollment application fee for institutional providers, and Medicare deductible, coinsurance, and premium rates for 2012.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.