Earlier this week, HHS’ Office of Civil Rights sent out a reminder that public comments to their request for information on improving care coordination and reducing the regulatory burdens of HIPAA are due by February 12, 2019.
Q: Our facility is used to reporting modifier -59 (distinct procedural service), but we're not sure when modifier -XE (separate encounter, a service that is distinct because it occurred during a separate encounter) would be appropriate instead. Could you provide an example?
Modifier -JW is used to describe drug amounts that are discarded and not administered to any patient. This does not reduce the payment for the drugs, so this is an informational modifier, but it is a mandatory modifier.
This week's note from the instructor discusses recent guidance from CMS on how to handle the removal of TKAs from the inpatient-only list and the 2 midnight rule.
This week’s Medicare updates include a Special Edition MLN Matters article on the removal of total knee arthroplasty from the inpatient-only list, manual changes related to functional reporting requirements and outpatient therapy caps, the April 2019 quarterly average sales price drug pricing files, and more!
