On January 30, 2020, the World Health Organization declared the Novel Coronavirus (2019-nCoV) disease outbreak a public health emergency of international concern. ICD-10-CM supplemental guidelines are available regarding COVI-19. This document will help provide official diagnosis coding guidance for the COVID-19 Coronavirus. The ICD-10-CM codes provided in this document are intended to provide information on …
Different-Day Upper and Lower Endoscopy
Published today from CMS MLN Connects: “Different-Day Upper and Lower Endoscopy: Comparative Billing Report in September: In late September, CMS will issue a Comparative Billing Report (CBR) on Different-Day Upper and Lower Endoscopy, focusing on providers who submit Medicare Part B claims. These reports contain data-driven tables with an explanation of findings that compare your …
Two commercial payers will stop reimbursing E & M consultation codes
Two commercial payers have announced that they will stop reimbursing E/M services consultation codes CPT 99241-99255. UnitedHealth announced in its newsletter March 2019, that it would match Medicare’s policy to stop recognizing and paying for consultations. “Effective with dates of service of June 1, 2019, UnitedHealthcare will no longer reimburse CPT codes 99241-99255 when billed …
Continue reading “Two commercial payers will stop reimbursing E & M consultation codes”
New Medicare Card Transition Ends Soon
New Medicare Card: Transition Period Ends in Less Than 5 Months MLN Matters: “Starting January 1, 2020, you must use the Medicare Beneficiary Identifier (MBI). We will reject claims you submit with the Health Insurance Claim Number (HICN), with a few exceptions and reject all eligibility transactions. Many providers are using the MBI for Medicare …
Shredding Breaches Occur Every Day
Assuming an office and or home shredder provides the same security as a professional document shredding service unfortunately is not true. Professional shredding companies provide high tech secure cross-cut or micro-cut shredding, secure locked containers, mobile shredding trucks, secure shredding facilities and a Certificate of Destruction verifying that your items have been securely shredded. The …
New Medicare Card: 0 not O
The Medicare Beneficiary Identifier (MBI) uses numbers 0-9 and all uppercase letters except for S, L, O, I, B, and Z. We exclude these letters to avoid confusion when differentiating some letters and numbers (e.g., between “0” and “O”).
Are You Using the MBI New Medicare Card?
“Many providers are using the new Medicare Beneficiary Identifier (MBI) for Medicare transactions. For the week ending January 25, providers submitted 62% of fee-for-service claims with the MBI. We encourage you to use MBIs now for all Medicare transactions. Don’t have an MBI? Ask your patient for their card. If they have not received …
Wave 6 Ends
New Medicare Card Mailing Update – Wave 6 Ends CMS finished mailing cards to people with Medicare who live in Waves 1-5 and now Wave 6 states (Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah, Washington, and Wyoming). Card mailing in Wave 7 states and territories continues. If someone with Medicare says they did …
New Medicare Card – Wave 6 Begins – Wave 4 Ends
CMS started mailing new Medicare cards to people with Medicare who live in Wave 6 states: Arizona, Colorado, Idaho, Montana, Nevada, New Mexico, Texas, Utah, Washington and Wyoming. We finished mailing cards to people with Medicare who live in Waves 1, 2, 3, and now Wave 4 states and territories. If your Medicare patients say …
Continue reading “New Medicare Card – Wave 6 Begins – Wave 4 Ends”