CMS provided updated coding and billing information in its Clinical Laboratory Fee Schedule (CLFS) for organizations performing tests for COVID-19 and providing treatment for confirmed or suspected COVID-19 infections.
The Centers for Disease Control and Prevention (CDC) is monitoring the rapid spread of a novel 2019 coronavirus, formally named COVID-19, first identified in Wuhan, Hubei Province, China. On January 30, the International Health Regulations Emergency Committee of the World Health Organization (WHO) declared the COVID-19 outbreak a public health emergency of international concern due to its sustained person-to-person spread within countries and across continental borders.
Findings from an Office of Inspector General (OIG) audit show that CHI St. Vincent Infirmary, a regional health network in Arkansas, improperly billed for 103 of 120 sampled claims related to outlier payments, which resulted in the improper billing of outliers totaling $581,136.
National Correct Coding Initiative (NCCI) edits can be a major stumbling block in the billing process. Take a look at the different types of NCCI edits and strategies to address them.
Findings from the Academy of Nutrition and Dietetics’ (Academy) most recent national coding survey of Registered Dietician Nutritionists (RDN) show that 7.8% respondents don’t know what CPT codes are or are not aware of using them.
CMS announced February 13 that it created a new HCPCS Level II laboratory testing code for SARS coronavirus 2, the virus that causes novel coronavirus. Medicare’s claims processing system will be able to accept this code on April 1 for dates of service on or after February 4.
Sepsis hospitalizations are on the rise and cost Medicare more than $40 billion in 2018, according to a U.S. Department of Health and Human Services (HHS) study.
Over 20% of commercially insured adults who underwent a common in-network surgical procedure between January 2012 and September 2017 received surprise charges for the episode from out-of-network clinicians, according to a recent study published in JAMA.
Providers need to clean up coding for electro-acupuncture devices, according to CMS. Claims submitted with HCPCS code L8679 will be subject to additional scrutiny to ensure they're correct.
The Patient-Driven Payment Model has shaken up skilled nursing facility (SNF) billing and coding. Learn the ins and outs of PDPM and how it will affect your organization.
