This week’s Medicare updates include a final decision memo on an NCD for next generation sequencing tests, an update to manual guidance on prior authorization, a guide to billing and coding for mental health services, and more!
Q: When a physician needs to certify an inpatient stay of 20 days or more, do we need to use a specific form for the certification? Or can we submit other documentation such as the physician's notes from the medical record?
The Medicine section of the CPT Manual includes codes for a variety of services including acupuncture, vaccinations, and behavioral health assessments and is divided into 33 subsections that can make it challenging to navigate.
Case managers weathered several changes in 2019, and 2020 promises to bring more of the same. We reached out to experts to find out what issues are likely to be front and center in the coming year.
