Coding The Novel Coronavirus (COVID-19)

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 …

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”).  

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 …