Correctly report G codes for physical therapy

August 1, 2013
Briefings on APCs

In January 2013, CMS introduced 42 therapy functional reporting G codes (nonpayable). These G codes are to be reported in conjunction with therapy services (physical, occupational, and speech). CMS also introduced seven complexity/severity modifiers to be used with these G codes.

CMS changes code status, adds APCs, modifier

August 1, 2013
Briefings on APCs

Eight CPT® codes for multianalyte assays with algorithmic analyses (MAAA) procedures are now classified as not covered under OPPS (status indicator E), retroactive to January 1, 2013. These codes are now subject to I/OCE edit 9.

History shows importance of proper cost reporting

August 1, 2013
Briefings on APCs

Providers setting charges based on an understanding of their costs is not a new concept, says Jugna Shah, MPH, president and founder of Nimitt Consulting. However, providers struggle with this or fail to do it correctly, and then stand to deteriorate their future payment rates since CMS relies on provider data to set payment rates not only for inpatient and outpatient services, but also for laboratory services.

This month's coding Q&A

August 1, 2013
Briefings on APCs

Our experts answer questions about injections and infusions, rubber stamp signatures, and modifier –Q0.