News & Analysis

CMS introduces modifier -L1 for lab tests in July quarterly I/OCE update

August 1, 2014
Briefings on APCs

The July quarterly I/OCE update from CMS brought few new APCs or edit updates, but did deliver new modifier -L1. Hospitals will use the new modifier to submit outpatient laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) in certain circumstances to claim separate payment.

This Month's Coding Q&A

August 1, 2014
Briefings on APCs

Our experts answer questions on coding chronic illnesses, reporting screw removals, E/M denials, and more.

Note from the instructor: CMS Updates Medically Unlikely Edits (MUE) File

July 15, 2014
Medicare Insider

This week’s note is about medically unlikely edits. Click the link above for more information and an in-depth analysis.

This Month's Coding Q&A

July 1, 2014
Briefings on APCs

Our experts answer questions on cyst excisions, observation timing, MUEs, and more.

Identify modifier misuse with case studies

July 1, 2014
Briefings on APCs

Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments, but they're often misapplied.

Note from the instructor: CMS' Advisory Panel on Hospital Outpatient Payment seeks input on chemotherapy supervision rules

July 1, 2014
Medicare Insider

This week’s note is about chemotherapy supervision rules. Click the link above for more information and an in-depth analysis.

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