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Code changes for the April update to the 2019 Medicare Physician Fee Schedule Database (MPFSDB) are effective for dates of service on and after Jan. 1, 2019. Medicare Administrative Contractors (MAC) will not search their files to retract payment for claims already paid or to retroactively pay claims. To ensure proper claims payment, providers will […]
The post Don’t Wait to Implement April Code Update appeared first on AAPC Knowledge Center.
There are 13 new CLIA-waived tests effective April 1, 2019. The Center for Medicare & Medicaid Services (CMS) announced in CR11080 that these apply to facilities with a CLIA certificate of waiver. QW is Key to CLIA Waived Test Codes The modifier QW CLIA waived test must be appended to all but a handful of CPT […]
The post New CLIA-waived Tests Effective April 2019 appeared first on AAPC Knowledge Center.
Twenty-three National Coverage Determinations (NCDs) for clinical diagnostic laboratory services have been updated to reflect the April 2018 quarterly release of the edit module for such services. ICD-10-CM codes in effect April 1 affect coverage for several common lab tests. Note ICD-10-CM Code Changes in Lab NCDs The following lab NCDs add/delete ICD-10-CM codes from the […]
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From CMS: If you’re an eligible clinician participating in the Quality Payment Program, you now have until Tuesday, April 3, 2018 at 8 PM EDT to submit your 2017 MIPS performance data. You can submit your 2017 performance data using the new feature on the Quality Payment Program website. Note: For groups that missed the […]
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If you’re submitting Durable Medical Equipment (DME) medical codes for billing , you’ll want to know April changes to the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) items and services in the schedule. Diabetic DME Codes The Centers for Medicare & Medicaid Services (CMS) are releasing the new file just in time for the new […]
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Now that you’re familiar with the 2018 HCPCS Level II codes, new C, G, K, and Q codes effective April 1 have been released by the Centers for Medicare & Medicaid Services (CMS). Several modifiers have been adjusted to reflect oxygen use. The annual quarterly updates helps CMS programs, such as the Outpatient Prospective Payment System (OPPS) […]
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Effective Jan. 1, 2018, newly approved biosimilar biologicals with a common reference product are no longer grouped into the same billing code. This change was finalized in the 2018 Medicare Physician Fee Schedule final rule. Q5102 Replaced with Two New Codes The April 2018 update to the Medicare Physician Fee Schedule Database (MPFSD) includes three […]
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