by Mary Pat Whaley | Aug 2, 2010 | Medicare & Reimbursement
In the MLN Matters dated July 30, 2010, Change Request (CR) 7080, CMS gives additional instructions on the timely filing rule*: For institutional claims that include span dates of service (i.e., a “From” and “Through” date span on the claim), the “Through” date on...
by Mary Pat Whaley | Aug 1, 2010 | Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
Here’s your pop quiz: The NCCI edits are: A. pairs of services that should not be billed by the same physician for the same patient on the same day. B. definition refinements for HCPCS codes. C. diagnosis codes (ICD-9) that cannot be billed together on a CMS...
by Mary Pat Whaley | Jul 25, 2010 | Medicare & Reimbursement, PECOS
NOTE: The date has been changed to July 5, 2011 has been delayed indefinitely. ************************************************************************************ Many managers have told me they know their providers are in PECOS but they’re not on the list OR...
by Mary Pat Whaley | Jul 19, 2010 | Electronic Medical Records, Medicare & Reimbursement
I was fortunate enough to be listening by phone to the historic (yes, historic) announcement of the final meaningful use rules by Kathleen Sebelius, Secretary HHS; Don Berwick, MD, new CMS Administrator; David Blumenthal, MD, national coordinator for health...
by Mary Pat Whaley | Jul 8, 2010 | Compliance, Headlines, Medicare & Reimbursement
For more information on the Medicare accreditation requirement for entities billing the technical component for advanced diagnostic imaging (CT, MRI, PET/Nuclear Medicine) effective January 1, 2012, read my post here....
by Mary Pat Whaley | Jul 6, 2010 | Headlines, Medicare & Reimbursement, The Cohen Report (NCCI & RVUs)
Report by Frank Cohen Frank Cohen, MPA, MBB The Frank Cohen Group, LLC As many of you may already know, July 1, 2010 CMS released yet another RBRVS (Resource Based Relative Value Scale) data set that will be used to pay physicians under Medicare effective June 1,...
