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The government is relaxing guidelines to ensure seniors get the healthcare they need during this national emergency. A sweeping expansion of telehealth coverage for Medicare beneficiaries is being implemented to aid in the healthcare needs of those with the coronavirus, or COVID-19. The Centers for Medicare & Medicaid Services (CMS) announced in a March 17, 2020, […]
The post Telehealth Coverage Expanded for Medicare Patients appeared first on AAPC Knowledge Center.
Wondering where all the ICD-10-CM, CPT, HCPCS Level II, Bill Type, and Revenue codes disappeared to in local coverage determinations (LCDs)? A provision of the 21st Century Cures Act required codes to be removed from LCDs and communicated through local coverage articles. Medicare Administrative Contractors (MACs) began the conversion at the beginning of the year […]
The post Where Did the Codes Go in Local Coverage Determinations? appeared first on AAPC Knowledge Center.
Look at diagnosis history changes and Medicare’s national and local coverage determinations for greater insight into denied claims. Coverage determinations for hyperbaric oxygen therapy (HBOT) for radiation proctitis make getting paid for physician services tricky. A review of historical diagnosis code changes, and the effect these changes have had on Medicare coverage determinations is necessary […]
The post Inspect Coverage for HBO Therapy for Radiation Proctitis appeared first on AAPC Knowledge Center.
UnitedHealthcare, one of nation’s leading health plans, will provide coverage for Inspire, Inc.’s novel obstructive sleep apnea (OSA) therapy starting in August. This determination comes almost one year to the day after Aetna agreed to cover Inspire’s neurostimulation device. And over the past year, BlueCross BlueShield joined the movement and is now offering several plans […]
The post Innovative Obstructive Sleep Apnea Therapy Coverage Expands appeared first on AAPC Knowledge Center.
Physicians are better equipped to correctly diagnose Medicare patients with hypertension thanks to a new national coverage policy. The Centers for Medicare & Medicaid Services (CMS) issued, July 2, a final decision memo regarding its national coverage policy for ambulatory blood pressure monitoring (ABPM). For nearly two decades, Medicare coverage for ABPM has been limited […]
The post Ambulatory Blood Pressure Monitoring Coverage Expanded appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) announced, June 21, a final decision to update the national coverage policy for transcatheter aortic valve replacement (TAVR) for aortic stenosis. It has been seven years since the original national coverage determination (NCD) went into effect. The update was necessary to account for the continued development of […]
The post CMS Updates TAVR National Coverage Policy appeared first on AAPC Knowledge Center.
Thank you,
CoderB
My question is are other commercial payers/carriers, particularly in Idaho, covering 58661 without cost-sharing as a preventive service if performed by an in-network provider and the plan is ACA compliant?
Thanks,
Corinne A. Littleton, CPC
The truth doesn’t mean anything, it just is.