News & Analysis

February 16, 2018
Medicare Web

Q: Our facility has attempted to use the -X{EPSU} modifiers on 2017 and 2018 claims but our Fiscal Intermediary Standard System (FISS) did not process the claims. I reverted to using modifier -59 (distinct procedural service). Do you have any knowledge of when these modifiers might go into use?

February 12, 2018
Medicare Web

What are some examples of hospital departments that do not furnish clinical services and would not be considered provider-based?

February 9, 2018
Medicare Web

Q: What should we report if you have a compression dressing that was applied to the thigh, in addition to the lower leg, since CPT code 29582 (multi-level compression bandage application, thigh to foot) was deleted for 2018? 

February 8, 2018
Medicare Web

Q: I work at a marketing company, and we are trying to figure out what exactly we can put on a postcard. What is required, per HIPAA regulations, to be fully compliant if we were to do things like dental patient reminders? We would have patient information from the offices. How would we need to handle that information? What are we allowed to include in our designs?

February 5, 2018
Medicare Web

How does Medicare cover hospital outpatient diagnostic services furnished in a provider-based department?

February 2, 2018
Medicare Web

Q: How does the Supplemental Medical Review Contractor determine which reviews to perform? Does SMRC work for CMS or our Medicare Administrative Contractor? 

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