by Mary Pat Whaley | Oct 10, 2010 | Collections, Billing & Coding, Medicare & Reimbursement
Update posted 8-14-2012: For flu shot updates for the 2012-2013 influenza season, click here. ******* Update posted 9-22-2011: For flu shot updates for the 2011-2012 influenza season, click here. ******* Update Posted 12-20-2010 – Medicare posted code changes...
by Mary Pat Whaley | Sep 1, 2010 | Medicare & Reimbursement
The CLIA regulations require a facility to be appropriately certified for each test performed. To ensure that the Medicare and Medicaid programs only pay for laboratory tests categorized as waived complexity under CLIA in facilities with a CLIA certificate of waiver,...
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 | Jun 24, 2010 | Headlines, Leadership, Medicare & Reimbursement
I don’t know about you but I am emotionally exhausted thinking about and worrying about the on-again off-again cuts in Medicare fees for physicians. Here’s the scoop: late Thursday evening, June 24, 2010, the House of Representatives passed the ”...
by Mary Pat Whaley | May 30, 2010 | Headlines, Medicare & Reimbursement
UPDATE: On June 24, 2010 the House and Senate passed legislation to further delay the Medicare cuts until November 30, 2010. More here. ***** Congress has yet to pass a bill delaying the June 1, 2010 21.2% reduction in physician reimbursement, but most believe it will...
