e-Prescribing (eRx) signature requirements
ERX Electronic prescribing is the transmission of prescription or prescription-related information through electronic media. Health care professionals can electronically transmit...
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CMS Expands treatment coverage for macular degeneration
The Centers for Medicare & Medicaid Services (CMS) will expand coverage of ocular photodynamic therapy (OPT) with verteporfin for treatment...
Increased Medicaid Fee Amounts For Vaccines
The Medicaid fiscal agent completed required coding for vaccine administration codes CPT 90460, CPT 90471, and CPT 90472 for the...
C9279 C9286 C9287 C9288 C9289 C9291 C9366 C9368 C9369 C9716 C9732 G0290 C0291 G0449 G0450 G0911 G0912 G8447 G8448 G8486 ...
Eligible Specialties For Increased Payment Under Affordable Care Act
The Affordable Care Act specifies increased payments for three primary care medical specialties: Family Medicine, General Internal Medicine and Pediatrics....
Retroactive Reimbursement On Medicaid Claims
Primary care service codes according to the ACA increase Primary care services designated in the Healthcare Common Procedure Coding System...
A6021 Collagen dressing, sterile, size 16 sq in or less, each A6022 Collagen dressing, sterile, size more then 16 sq in but less...
Medicare Claims From April 1, 2013 Will Be On Hold Till April 14, 2013
The Centers for Medicare & Medicaid Services (CMS) has identified technical issues with certain parts of the April 2013 quarterly...
Incorrect denial of claims for procedure code 95910
First Coast Service Options Inc. (First Coast) has discovered that claims containing Current Procedural Terminology (CPT®) 95910 CPT code that...
Detection of exact Duplicate Claims
Some claims that appear to be duplicates are actually claims or claim lines that contain an item or service, or...
New wound care HCPCS codes added to Home Health billing
The Centers for Medicare & Medicaid Services (CMS) updated home health (HH) consolidated billing effective July 1, 2013, adding two...
CPT A4435 Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), without filter, each CPT A9586 Florbetapir F18,...