Articles - Page 2352

(2022) How To Correct CO 50 Denial Code

Claim Adjustment Reason Codes (CARC) CO-50  Denial Code. These are non covered services denial because this is not deemed a ‘medical...

How To Use Modifier QQ | Descriptions & Guidelines

Modifier QQ can be used when the furnishing professional is aware of the result of the ordering professional’s consultation. Below...

Medicare Uncompensated Care Payments (2021)

CMS distributes a prospectively determined amount of uncompensated care payments to “Medicare disproportionate share hospitals” based on their relative share...

Revised Guidelines for CPT 99441, 99442 & 99443 (2021)

Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes CPT 99441—99443....

COVID-19 Frequently Asked Questions (FAQs) – Released May 5, 2020

CMS Releases Additional Medicaid & CHIP COVID-19 FAQs for State Medicaid and CHIP Agencies CMS released additional frequently asked questions...

MAC will Reprocess the claims – Telephone E&M; Visits

The March 30 Interim Final Rule with Comment Period added coverage during the Public Health Emergency for audio-only telephone evaluation...

New CMS Announcement For Nursing Home Safety & Quality

As a part of President Trump’s Opening Up America Again effort, the Centers for Medicare & Medicaid Services (CMS) announced...

CPT Code 99221 – CPT Code 99255 (2021)

Definitions Of CPT Codes CPT 99221: Under New or Established Patient Initial Hospital Inpatient Care Services. CPT 99231: Under Subsequent...

Stop Hepatitis B via HBsAg Screening in Pregnant Women

Screening for Hepatitis B (HBV) infection in pregnant women provides substantial benefit, reaffirms the U.S. Preventive Services Task Force (USPSTF)...

Billing Guidelines for Vaccines (2021)

1. Effective with date of service July 1, 2011, the ONLY immunization administration codes covered for Medicaid recipients in the Health...

Can we report CPT code 43247 and CPT code 43246 for a same encounter?

Intubation of the gastrointestinal tract (e.g., percutaneous placement of G-tube, CPT code 43246) includes subsequent removal of the tube.  CPT...

List With CPT Codes For Anesthesia Services

Looking for the CPT Code for cardioversion with anesthesia? The NCCI contains many edits bundling standard preparation, monitoring, and procedural...