UHC Modifiers Not Reimbursable to Health Care Professionals
UnitedHealthcare will not reimburse modifiers H9, HU-HZ, QJ or TR, effective in the second quarter of 2015. The use of...
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Radiology Billing and Coding: Postreduction X-rays
Same Provider, Same Number of Views When the same provider reads the same number of pre- and postreduction views, he...
UHC Revision Non-Physician Health Care Professionals Billing E/M Codes
UnitedHealthcare does not currently reimburse Evaluation and Management (E/M) CPT codes 99201-99499 when submitted by specific nonphysician health care professionals....
CPT new codes for TIER 2 MOLECULAR PATHOLOGY PROCEDURES
The following molecular pathology procedure (Tier 2) codes are used to report procedures not listed in the Tier 1 molecular...
CPT Changes to ABLATION THERAPY
The existing code for radiofrequency bone ablation has been updated to include adjacent soft tissue and radiologic guidance. In addition,...
The AMA added new codes for the infectious testing for gastrointestinal pathogens (e.g., salmonella, shigella, etc.) which previously did not...
CPT Code for chemistry (PATH/LAB)
CHEMISTRY Interleukin 1 receptor like-1 (also known as ST2) has been associated with the progression of cardiac disease. Testing for...
CPT code changes for PATHOLOGY/LABORATORY
AMA made several changes in the Pathology and Laboratory 80000 series code section of the CPT code set. There were...
TEST CODE DESCRIPTION OLD CPT CODE NEW CPT CODE 6MAM 6 MAM SCREEN RFLX 80101 (HCPCS G0431) 80301 (HCPCS G0431)...
Prompt payment interest rate revision
Medicare must pay interest on clean claims if payment is not made within the applicable number of calendar days (i.e.,...
Routine ABN Prohibition Exceptions
ABN on demand may be routinely given to beneficiaries and considered to be effective notices which will protect notifiers in...
Proper use of ‘Medicare Treatment Authorization’ field
Starting January 5, 2015, the “Medicare Treatment Authorization” field must contain blanks or valid Medicare data in the first 14...