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Articles for:
August 16, 2010


Medicare Payment Increase Proposed for Outpatient Departments

Hospital outpatient departments could see a Medicare payment increase of 2.4 percent i... Learn More

A Compromise for Outpatient Therapeutic Services Supervision Requirements

For calendar year 2011, the Centers for Medicare and Medicaid Services (CMS) is proposing s... Learn More

CMS Continues Scrutiny of PHP Payments to CMHCs and OPDs

For calendar year 2011, the Centers for Medicare and Medicaid Services is proposing ... Learn More

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Medical Coding News Archives

Article Archives 
Please note: archived articles may not reflect current guidelines and regulations.

Broadcast: August 16, 2010
Medicare Payment Increase Proposed for Outpatient Departments
A Compromise for Outpatient Therapeutic Services Supervision Requirements
CMS Continues Scrutiny of PHP Payments to CMHCs and OPDs

Broadcast: July 15, 2010
Proposed Changes to PQRI Released
Physicians Receive 2.2 Percent Update Through November 30

Broadcast: June 18, 2010
New ICD-9-CM Code Highlights
Initiative Aims to Save Providers Money and Time
CMS Updates Pulmonary Rehabilitation Services Coverage

Broadcast: June 10, 2010
Pending Payment Legislation Puts Physicians on Hold
AMA Seeks to Block Red Flag Rule
CMS Releases HCPCS Update

Broadcast: May 28, 2010
Conversion Factor Is Adjusted Downward
Reduction Increases for Multiple Procedure Radiology TC
Congress Considers Five-Year Fix to Physician Payment

Broadcast: May 13, 2010
Timely Filing Requirements for Medicare Fee-for-Service Claims
RAC Recoupment Causes Confusion
Matching Funds Awarded for Electronic Health Record Incentive Program

Broadcast: May 4, 2010
No April MPFS Update
CMS Releases PPS Proposed Rules
New Diagnosis Code Added to Defibrillator Claim Edits

Broadcast: April 22, 2010
New Diagnosis Code Added to Defibrillator Claim Edits
Inpatient Hospital Billing Changes
Outpatient Therapy Cap Exception Extended

Broadcast: April 6, 2010
CMS Releases Stricter Authentication Guidelines for Medical Reviewers
Claims Error Rate More Than Doubles
OIVIT Remains Noncovered for Medicare Patients

Broadcast: March 16, 2010
Hospital Billing and Coding Changes for Diabetes-Related Treatments
Health IT Certification

Broadcast: February 23, 2010
Medicare Crossover Claims Hit Processing Glitch
New Quality Data Reporting for Renal Dialysis Facilities
Breach Notification Rules Effective February 22

Broadcast: February 9, 2010
Consultation Coverage Change Has Far-Reaching Effects
Confusion Abounds Over New Place-of-Service Guidelines
New Billing Instructions for Qualitative Drug Analysis Testing

Broadcast: January 26, 2010
Medicare Payment Provisions Expire
New Coding, Billing, and Coverage Requirements for Deep Vein Thrombosis

Broadcast: January 12, 2010
CMS TOUGHENS REVIEWS—SUSPENDS PAYMENTS
New Contractor Numbers Released for Jurisdiction 9
List of CLIA Waived Tests Is Expanded

Broadcast: December 22, 2009
MAJOR CHANGES FOR OASIS-C IN FISCAL 2010
Ambulatory Surgery Centers Prepare for 2010 PPS Updates
CMS Expands PQRI Reporting Options

Broadcast: December 8, 2009
CONSULTATION CONFUSION
New Payment Rules for Teaching Anesthesiologists and CRNAs
E-prescribing

Broadcast: November 24, 2009
CMS TO USE STRICTER STANDARDS TO CALCULATE IMPROPER PAYMENT RATE
Changes in Store for Cardiac and Pulmonary Rehabilitation for 2010
New Coverage Requirements for Inpatient Rehabilitation Services

Broadcast: November 10, 2009
MEDICARE CONVERSION FACTOR DROPS TO $28.4061
Medicare Coverage for Consultation Codes Is History
PQRI Continues to Grow in 2010

Broadcast: October 27, 2009
CPT 2010 USHERS IN SIGNIFICANT CHANGES
CMS Expands MRI Coverage
Accreditations Mandatory for DMEPOS Bids

Broadcast: October 13, 2009
LABORATORIES PREPARE FOR OCTOBER 1 COVERAGE CHANGES
Hospitals Face New Reviews in OIG’s Work Plan for Fiscal 2010
Providers Advised to Verify Medicare Enrollment to Avoid Claim Denials

Broadcast: September 22, 2009
CMS Outlines Local Coverage Determination Exceptions
CMS Has Approved Audit Issues for RACs
Hospitals Accreditation Hinges on Revisions to the Hospital Interpretive Guidelines

Broadcast: September 10, 2009
Updated ICD-9-CM Guidelines Released
AMA/CMS Release Different Coding Advice for H1N1 Vaccinations
CMS Releases October HCPCS Level II Update

Broadcast: August 25, 2009
Deadlines Fast Approaching for DMEPOS Providers
2010 Inpatient PPS Final Rule Released
CMS Is Considering Extending Coverage of Screening Tests

Broadcast: August 11, 2009
Changes Proposed to Hospital Outpatient Physician Supervision Regulations
CMS Clarifies Facet Joint Injections Billing
Screening CTC for Colorectal Cancer Remains Noncovered

Broadcast: July 28, 2009
Physicians Could Take Hard Hit Under Proposed MPFS Rule
OPPS Rule Proposes Payment Increase and Expansion of ASC Services
Medicaid Outpatient Rules Rescinded

Broadcast: July 14, 2009
Lab Coverage Changes Effective July 1
CMS Releases CCI Version 15.2
HIT Policy Committee Proposes Meaningful Use Definition

Broadcast: June 23, 2009
CMS Issues NCD for Wrong Surgery
2010 ICD-9-CM Addendums Released
July Starts New Reporting Period for PQRI

Broadcast: June 9, 2009
Changes Proposed for Acute Care and Long-Term Acute Care Hospitals in Fiscal 2010
CMS Clarifies Billing of Routine Foot Care
Project Targets Unnecessary Hospital Readmissions

Broadcast: May 26, 2009
ICD-9-CM Code Changes for 2010
Coverage Changes for Oncologic Use of FDG-PET
Specialty Code Requirements Revised

Broadcast: May 12, 2009
The Joint Commission Updates Hospital COP-related Requirements
CMS Expands Editing for Ordering/Referring Providers
List of Approved Telehealth Services Is Updated

Broadcast: April 28, 2009
CMS Offers Pay-for-Performance to Nursing Homes
Top Reasons for Unsuccessful PQRI Reporting
BMI Key to Medicare Coverage of Bariatric Procedures in Diabetic Patients

Broadcast: April 14, 2009
CMS Issues ASC Payment Policy Changes Effective April 2009
OIG Recommends Recovery of More Than $4 Million in Overpayments
CMS to Hold Open Door Forum on Part B RAC Audits

Broadcast: March 24, 2009
GAO Releases New Report on Improper Payments in Home Health
Access to Emergency Medical Services Act
CCI April Update and Modifier 59

Broadcast: March 10, 2009
Stimulus Bill Puts EMRs on the Horizon
CMS Releases April Update to MPFS
New CLIA Waived Tests Released

Broadcast: February 24, 2009
Payers to Scrutinize Payments for Modifier 79
Facet-Joint Injections Often Don’t Meet Payment Requirements
Anti-Markup Payment Limitations Outlined

Broadcast: February 10, 2009
CMS Issues Three NCDs Preventing Medicare Payment for ‘Never Events’
Providers Not Up on CCI Edits Risk Accusations of Bundling
Growth in National Health Spending Is Lowest Since 1998

Broadcast: January 27, 2009
Date Set for ICD-10-CM and ICD-10-PCS Implementation
CMS Releases Updates to MPFS/Clinical Lab Fee Schedules
Internet-Based Medicare Enrollment Is Now Available

Broadcast: January 13, 2009
CMS Toughens Reviews—Suspends Payments
New Contractor Numbers Released for Jurisdiction 9
List of CLIA Waived Tests Is Expanded

Broadcast: December 23, 2008
Partial Hospitalization Program Coding
Therapy Billing
Be Aware of FY2009 MS-DRG Relative Weight Revisions

Broadcast: December 9, 2008
2009 HCPCS Level II Update: New Codes
2009 HCPS Update: Revisions, Reinstatements, Deletions
HCPCS Changes to PQRI Codes

Broadcast: November 25, 2008
CMS Updates Remittance Advice Remark Codes
Originating Telehealth Sites and Services Expanded
CMS Releases 2009 Medicare Deductibles

Broadcast: November 11, 2008
CMS Releases Update to Physician Fee Schedule for 2009
Outpatient and ASC Final Rules Released
Physician Final Rule Expands Quality Reporting, Increases Incentives

Broadcast: October 28, 2008
Fall Brings Sweeping Changes to CPT 2009
CMS Tells Physicians to Be Patient
CMS Analyzes Coverage of Screening Colonography

Broadcast: October 14, 2008
NPI Not Required on Certain Claims
There’s No Going Back After Transition to EFT
CMS Publishes MUE Edits

Broadcast: September 23, 2008
OIG Recommendation to CMS: Expand CERT Review Process
More Than 30 Registries Qualify for 2008 PQRI Reporting
CMS Clarifies Rules for Diagnostic Test Orders

Broadcast: September 9, 2008
Migraine Coding for 2009
Three Years Until ICD-10?
FDA Approves 2008–2009 Flu Vaccines

Broadcast: August 26, 2008
CMS Proposes Multiple Imaging Composite APCs
CPAP for Obstructive Sleep Apnea Treatment Now Covered
New Diagnosis Codes for Secondary Diabetes

Broadcast: August 12, 2008
CMS Announces New Coverage of Home PT Monitoring
CMS Announces PQRI Payout
Incorrect POS May Result In $1.5 Million In Overpayments

Broadcast: July 22, 2008
Congress Averts Physician Pay Cut
RAC Demo Saves Medicare Nearly $700 Million
Independent Laboratories Not to Receive Medicare Payments

Broadcast: July 15, 2008
Independent Laboratories Not to Receive Medicare Payments

Broadcast: July 8, 2008
Proposed Reduction to Medicare Physician Fee Schedule for 2009
Proposed Fee Schedule Rule Indicates PQRI Expansion

Broadcast: June 24, 2008
Medicare Travel Allowance Fees for Specimen Collection
New Waived Tests Under CLIA
Electronic Health Records Demonstration

Broadcast: June 10, 2008
New ICD-9-CM Codes for Fiscal 2009
Sneak Peek at CPT® Changes Daunting
CMS to Providers: Register Now to Access Your 2007 PQRI Report

Broadcast: May 27, 2008
New ABN Replaces Three Previous Forms
CMS Releases Fiscal 2009 IPPS Proposed Rule
Expansion of Hospital Quality Program Is Proposed

Broadcast: May 13, 2008
CMS Makes PQRI Participation Easier
Incident-to Policy Is Beefed Up
PRP Wound Treatment Remains Noncovered Under New Policy

Broadcast: April 22, 2008
Acute Care Episode Demonstration Project Effective October 1
No Coverage Change for PTA of Renal Arteries
CMS Releases Updates to HCPCS

Broadcast: April 8, 2008
Starting April 1, Claims Missing POA Indicators Will Be Returned
CMS Announces MAC Contract for Connecticut and New York
CTA Coverage Not to Be Limited As Proposed

Broadcast: March 25, 2008
Time for a HIPAA Compliance Check-up
Medicare Implements the Revised ABN
Get Re-Acquainted with Critical Care Billing and Documentation Requirements

Broadcast: March 11, 2008
RAC Program Identifies $371.5 Million in Improper Medicare Payments
CMS to Provide Prior Determination of Coverage
Bone Mass Measurement Tests Are Inappropriately Denied

Broadcast: February 26, 2008
Correct Critical Care Billing Still Up in the Air
CMS to Implement New Edit in Carrier Processing System
New K Code for Orthosis Interface

Broadcast: February 12, 2008
CMS Contingency Plan Coming to an End
ACE Demonstration Project Launched
Remember to Bill Smoking and Tobacco Cessation Counseling

Broadcast: January 22, 2008
New CERT Report Reveals E/M Errors Remain High
Remember CLIA Allows Providers to Perform PPMP
Coverage Updated for ESA Treatment

Broadcast: January 8, 2008
Physicians Get Extension for Participation Decisions
CMS Publishes Rule Delaying Anti-Markup Provisions
Providers May See New Reasons for Claim Denials in 2008

Broadcast: December 26, 2007
Congress Passes Legislation To Prevent Physician Reimbursement Cut
New Correct Coding Edits Incorporate CPT® Changes
Modifier 51 Revisions Affect the Bottom Line

Broadcast: December 11, 2007
CMS Makes APC Reassignments
Medicare to Pay for Brachytherapy Sources and Application
Coverage Limited for Alcohol and Substance Abuse Assessment and Intervention

Broadcast: November 27, 2007
CMS Creates Composite APCs for Observation
New Place-of-Service Code for Temporary Housing
Status Codes Offer Greater Specificity

Broadcast: November 13, 2007
Physician Payment Takes Major Blow for 2008
Outpatient Prospective Payment Rule Released
CMS Releases PQRI Measures for 2008

Broadcast: October 30, 2007
AMA Adds Codes for Telephone Services
New CPT® Changes Include Modifier Revisions/New Modifier
CMS to Reject Electronic Claims with Legacy Numbers

Broadcast: October 16, 2007
2008 OIG Workplan Released
New I-9 Code for CRBSI Proves Tricky for Coders
Updates to MPFS Released

Broadcast: September 25, 2007
Sneak Peak at CPT® 2008 Reveals Numerous Changes
Implementation of MS-DRGs Begins October 1st
Medicare Releases or Reviews Three NCDs

Broadcast: September 11, 2007
POA Indicator a Must Beginning October 1
CMS Takes Additional Steps in Refining NPI Usage
Fraudulent Infusion Therapy Providers Put in the Hot Seat

 

  

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