Are your physicians clinging to the past? Several new studies have found that physicians and patients are still holding on to outdated, and low-value services.
Providers, clinic staff, billing entities, and patients continue to struggle with new reporting requirements for rural health clinics six weeks since the implementation. Read for an expert's analysis of the most recent information CMS has distributed on the requirements.
Q: Are there any new HCPCS codes for recently released biosimilar products on the horizon? Our physicians and pharmacists are being contacted by the manufacturer about purchasing and using them, but we want to be sure we can report them appropriately.
This week’s updates include a special edition MLN Matters article regarding rural health clinics HCPCS reporting requirement and billing updates; the Merit-Based Incentive Payment System and Alternative Payment Model Incentive under the Physician Fee Schedule publication in the Federal Register; and more!
CMS recently released its seventh maintenance update for National Coverage Determinations to incorporate ICD-10 and other coding updates, which may require providers to contact Medicare Administrative Contractors regarding previously submitted claims.
America’s Essential Hospitals (formerly known as the National Association of Public Hospitals and Health Systems) is starting an initiative to better understand and improve population health programs.
On April 29, CMS releaseda transmittal and MLN Matters articleregarding use of JW modifier for drug wastage. The transmittal states that, effective July 1, claims for discarded drug or biological amounts not administered to any patient, shall be submitted using the JW modifier. Also, effective July 1, providers must document the discarded drugs or biologicals in patient's medical record.
