Study Shows Families Could Save $1,000 If States Expanded Medicaid
A new AHRQ study published in Health Affairs estimated that low income, uninsured adults could have saved, on average, more than $1,000...
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Transcatheter Mitral Valve Repair (TMVR)
Effective for claims with dates of service furnished on or after August 7, 2014, the Centers for Medicare & Medicaid...
Results from ICD-10 Acknowledgement Testing Week
CMS conducted another successful acknowledgement testing week last month. Acknowledgement testing gives providers and others the opportunity to submit claims...
CPT code Crosswalks – Lower GI Endoscopy CPT codes to HCPCS G-Codes
CPT 44383 – G6018 Ileoscopy, through stoma; with transendoscopic stent placement (includes predilation) CPT 44393 – G6019 Colonoscopy through stoma;...
CPT Book – New definition for Colonoscopy procedures
The definition of a colonoscopy examination is now specifically described in CPT as the examination of the entire colon, from...
Medicare Claims will be on hold
On November 13, 2014, the CY 2015 Medicare Physician Fee Schedule (MPFS) final rule was published in the Federal Register....
Updates to Hospice Related Services – Part B
CMS published an article to alert providers that they should identify if a beneficiary is enrolled in hospice. Providers can...
CPT Changes to Extracorporeal Membrane Oxygenation
The following is a list of CPT changes to Extracorporeal Membrane Oxygenation (ECMO) and Extracorporeal Life Support (ECLS). In the...
Medicare coverage of items and services in IDE studies
The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) allowed Medicare payment of the routine costs of care...
LIST OF MEDICARE TELEHEALTH SERVICES
90791 Psych diagnostic evaluation90792 Psych diag eval w/med srvcs90832 Psytx pt&/family 30 minutes90833 Psytx pt&/fam w/e&m 30 min90834 Psytx pt&/family...
In compliance with the statutory requirements of the Affordable Care Act, Centers for Medicare & Medicaid Services (CMS) released five...
eRx Incentive Program Supplemental Incentive Payments are Now Available
CMS announced that the 2012 Electronic Prescribing (eRx Now) Incentive Program Supplemental Incentive Payments are now available for eligible professionals...