Awareness : Did You Know? 2015-2016

Did You Know? Weekly Educational Series 54

Effective January 1, 2017, the following LCD revisions are effective for services rendered on or after January 1, 2017.
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For The Week of December 26, 2016

Did You Know? Weekly Educational Series 53

Effective January 1, 2017, Medicare allows for one ultrasound screening for abdominal aortic aneurysms (AAA), subject to certain eligibility and other limitations.
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For The Week of December 12, 2016

Did You Know? Weekly Educational Series 51

Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) recently announced the reduction in payment of 20 percent for the technical component of X-ray imaging…
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For The Week of November 28, 2016

Did You Know? Weekly Educational Series 50

Updates to self-dialysis training, retraining, and nocturnal hemodialysis.

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For The Week of November 14, 2016

Did You Know? Weekly Educational Series 48

EMTALA Transfers.

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For The Week of October 3, 2016

Did You Know? Weekly Educational Series 47

ICD-10 Codes for GIST

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For The Week of September 18, 2016

Did You Know? Weekly Educational Series 46

When providing Preventive Services, please refer to the guidelines, attached.

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For The Week of September 11, 2016

Did You Know? Weekly Educational Series 45

Defining Supervision Levels…

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For The Week of September 5, 2016

Did You Know? Weekly Educational Series 44

Arthrocentesis…

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For The Week of August 29, 2016

Did You Know? Weekly Educational Series 43

Many times auditors see statements to the effect of “xx minutes spent face to face with the patient, greater than 50% of the time spent counseling and coordination of care”….and there it stops.

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For The Week of August 22, 2016

Did You Know? Weekly Educational Series 42

Can you bill a whole body bone scan and SPECT imaging together?

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For The Week of August 15, 2016

Did You Know? Weekly Educational Series 41

Modifier 57 is only used when a major surgery is planned.

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For The Week of August 1, 2016

Did You Know? Weekly Educational Series 40

Morbid Obesity for Bariatric Surgery Patients: A single diagnosis isn’t sufficient justification under ICD-10.

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For The Week of July 25, 2016

Did You Know? Weekly Educational Series 39

Tips for the use of Modifiers 25 and 57

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For The Week of July 4, 2016

Did You Know? Weekly Educational Series 38

Billing emergency department services provided by physician and emergency department…

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For The Week of June 20, 2016

Did You Know? Weekly Educational Series 37

Recurrent otitis media and chronic otitis media with effusion, can it be coded as H65.196?

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For The Week of June 13, 2016

Did You Know? Weekly Educational Series 35

The change in policy regarding the use of the JW modifier for discarded Part B drugs and biologicals.

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For The Week of May 30, 2016

Did You Know? Weekly Educational Series 34

Coverage of allogeneic hematopoietic stem cell transplantation…

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For The Week of May 23, 2016

Did You Know? Weekly Educational Series 33

Please review the list of duties that can be performed by a Certified Nurse Assistant, according to their scope of practice…

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For The Week of May 16, 2016

Did You Know? Weekly Educational Series 32

In 2016, sentence added: “The right heart catheterization CPT® code may be billed only if a complete right heart catheterization procedure is performed…

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For The Week of May 2, 2016

Did You Know? Weekly Educational Series 31

the LCD for amniotic membrane-sutureless placement on the ocular surface was revised…

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For The Week of April 25, 2016

Did You Know? Weekly Educational Series 30

Up to 3 units of 61645 can be submitted per encounter for intracranial thrombolysis

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For The Week of April 18, 2016

Did You Know? Weekly Educational Series 29

The LCD for intensity modulated radiation therapy (IMRT) is being retired

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For The Week of April 11, 2016

Did You Know? Weekly Educational Series 28

AMA added a code for 2016: add-on code for immunofluorescence stains

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For The Week of March 14, 2016

Did You Know? Weekly Educational Series 27

CMS decided to implement an (NCCI) edit for the code pair 77295/773000 effective January 1, 2016.

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For The Week of March 7, 2016

Did You Know? Weekly Educational Series 25

Is code 92973 the appropriate code for aspiration of a thrombus within a coronary vessel?

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For The Week of February 22, 2016

Did You Know? Weekly Educational Series 24

You must issue an ABN when you expect Medicare may deny payment for an item or service because…

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For The Week of February 15, 2016

Did You Know? Weekly Educational Series 23

Billing Evaluation and Management Services and Intravitreal Injections on the Same Date of Service Guidance

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For The Week of February 8, 2016

Did You Know? Weekly Educational Series 22

Two New E/M Codes in 2016 for Prolonged Services provided by the Clinical Staff supervised by the Physician or NPP in an Office Setting (POS 11).

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For The Week of February 1, 2016

Did You Know? Weekly Educational Series 21

Advance care planning (ACP) services
CMS established Medicare payment for two ACP services effective January 1, 2016.

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For The Week of January 25, 2016

Did You Know? Weekly Educational Series 20

When billing 94640, is there a limit on the number of inhalation treatments that may be given?

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For The Week of January 18, 2016

Did You Know? Weekly Educational Series 19

A physician is asked to insert a central venous tunnelled catheter…
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For The Week of January 11, 2016

Did You Know? Weekly Educational Series 18

Are E&M services separately billable with radiation oncology services?

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For The Week of December 21, 2015

Did You Know? Weekly Educational Series 17

What codes should be billed for the following procedures: patient had a left heart catheterization with coronary arteriograms from a femoral access and also had a right subclavian arteriogram due to arm swelling?

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For The Week of December 14, 2015

Did You Know? Weekly Educational Series 16

When a physician/practitioner administers more than one interlaminar epidural injection in the same spinal region, should they append modifier 50?

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For The Week of December 7, 2015

Did You Know? Weekly Educational Series 15

If the physician obtains a biopsy from the anterior pillar and also removes the upper half of the nostril, would cpt code 42842 be used to bill this procedure?

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For The Week of November 30, 2015

Did You Know? Weekly Educational Series 13

Can two stent codes be reported with 92928 LM and 92928 LD?

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For The Week of November 16, 2015

Did You Know? Weekly Educational Series 12

There are several provisions that may affect “timeliness” when talking about documentation.

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For The Week of November 9, 2015

Did You Know? Weekly Educational Series 11

“Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code…

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For The Week of October 26, 2015

Did You Know? Weekly Educational Series 10

Destruction of malignant skin lesions — revision to the Part B LCD
LCD ID number: L33813

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For The Week of October 19, 2015

Did You Know? Weekly Educational Series 9

Does CMS require updated physician (or non-physician practitioner) orders for lab, radiology services, or any other services after ICD-10 implementation?.
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For The Week of October 12, 2015

Did You Know? Weekly Educational Series 8

New Webcasts on Roadto10.org cover ICD-10 clinical concepts for: Dental, Lab, Pharmacy and Radiology.
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For The Week of October 5, 2015

Did You Know? Weekly Educational Series 7

Physicians and non-physician practitioners (NPPs) may use the services of a scribe to assist with documentation…
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For The Week of September 28, 2015

Did You Know? Weekly Educational Series 6

What code should be assigned to bill an alemtuzumab injection?
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For The Week of September 21, 2015

Did You Know? Weekly Educational Series 5

Do not miss the primary procedure with 62160.
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For The Week of September 14, 2015

Did You Know? Weekly Educational Series 4

Is there going to be a change in the descriptor for code 94640, in 2016? If so, what is it?
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For The Week of September 7, 2015

Did You Know? Weekly Educational Series 3

How many times can CPT Codes 92978 and 92979 be billed during a single encounter?
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For The Week of August 31, 2015

Did You Know? Weekly Educational Series 2

Can a lab be paid for ICD-9 diagnosis code V70.0 (routine general medical examination at a healthcare facility)?
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For The Week of August 24, 2015

Did You Know? Weekly Educational Series 1

Can we charge for a fine needle aspiration (FNA) and core biopsy of the thyroid in the same session?
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For The Week of August 17, 2015