CMS released updated I/OCE specifications in January with several changes that could require providers to examine claims submitted early in 2015 that include comprehensive APCs (C-APC) to ensure proper payment.
When CMS introduced the -X{EPSU} modifiers in August 2014 to be used in specific instances to replace modifier -59 (distinct procedural service), the agency encouraged "rapid migration" to the new modifiers.
The policies that CMS publishes each year in the OPPS proposed rule don't always come as a surprise. Sometimes, CMS will announce its future intent in a previous rule in order to notify providers about data it is looking at or requesting comments on.
This week’s note is about new rules regarding contractors up coding or down coding. Click the link above for more information and an in-depth analysis.
This week’s note is about MLN Matters’ recent “Preventative Services” Educational Tool. Click the link above for more information and an in-depth analysis.
