April 20, 2016
News & Insights

Q: Our pharmacy is asking if there is going to be payment for a new anti-hemophilia factor called Nuwiq. They say it is quite expensive and they want to know if there is additional payment for it.

April 19, 2016
News & Insights

Q: What elements must be included for inpatient certification?

April 15, 2016
News & Insights

Q: What are some questions case managers can ask during the screening process?

April 13, 2016
News & Insights

Q: We have started using what our physicians call “high-frequency” neurostimulators. I know there are two HCPCS codes for reporting these to Medicare, but how do we know what is high frequency and what is not?

April 12, 2016

Q: How are covered observation services paid?

April 8, 2016
News & Insights

Q: Which hospital patients must be screened an assessed for a discharge plan?

April 6, 2016
News & Insights

Q: Did CMS ever add the drug screening HCPCS codes to the system so we can process these claims?

 

April 5, 2016
News & Insights

Q: Rural health clinics have to start to bill all services on individual lines with HCPCS codes and charges. Is there a way to report these services on a separate line without the appearance of inflating our charges? 

March 30, 2016
News & Insights

Q: I have a question regarding which place of service (POS) code I should use for an orthopedic doctor who did a consultation on a patient that came through the ED. The patient has a spiral fracture of the humerus. The electronic record documents that the patient was admitted to the medical unit on January 31 but was a “boarder” in the ED until February 2, waiting on a room to be available. The orthopedic doctor saw the patient on February 1. The patient did finally receive a room assignment on February 2. In this scenario would I use POS 22 (outpatient hospital) or 23 (ED)? This patient has Medicare.

March 29, 2016
News & Insights

Q: What are therapeutic services?

Pages