This week’s updates include the temporary pause of QIO short stay reviews; review of CMS' Pioneer Accountable Care Organization Payment Model first performance year administration; and more!
In the July quarterly OPPS update, CMS mentions billing physical and occupational therapy and speech-language pathology services provided in support of or adjunctive to comprehensive APC services under revenue code 0940 rather than the NUBC-defined revenue codes. This article helps make sense of the situation.
If CMS’ late April release of a change request requiring reporting of the previously optional modifier -JW (drug amount discarded/not administered to any patient) by July 1 seemed too sudden, the good news is many other providers—and the agency—agreed.
A clinic in Stafford, Arizona, is expanding its services and focus on case management in an effort to improve relationships among primary care providers and patients.
CMS' coding modifiers are not always used to report clinical components of a service. Sometimes they can be used in order to provide information about how a service relates to Medicare coverage policies.