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Coding initial hospital care became more challenging after Medicare stopped paying for inpatient consult codes several years ago — but that can’t be the only factor driving the startling error rates for evaluation and management (E/M) codes 99223 and 99214. In the report “2019 Medicare Fee-for-Service Supplemental Improper Payment Data,” the Centers for Medicare & […]
The post CMS Identifies E/M Codes With High Error Rates appeared first on AAPC Knowledge Center.
The No. 1 claim error for June in 11 states plus the District of Columbia was for non-covered charges, according to Novitas Solutions, Medicare Administrative Contractor for Jurisdictions H (Arizona, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas) and L (Washington DC, Delaware, Maryland, New Jersey, and Pennsylvania). This error is identified by Explanation of […]
The post Top Claim Error Revealed appeared first on AAPC Knowledge Center.
Clinical diagnostic laboratories that fulfilled orders for targeted genomic sequence analysis panel CPT code 81455 between March 16, 2018, and March 31, 2018, may need to resubmit these claims to Medicare. Some claims may have been denied due to non-coverage for the given diagnosis. However, since the Centers for Medicare & Medicaid Services (CMS) announced […]
The post Claims for Next Generation Sequencing May Have Been Denied in Error appeared first on AAPC Knowledge Center.
Looking for some guidance on the legality of the following situation: A patient comes in for lab work and the physician or phlebotomist missed something on the order and the patient has to come back. Do you no charge the venipuncture when the patient comes back as a courtesy because it was our error? Does the venipuncture go on the claim with $ 0.00 or can you leave it off completely? Do we bill the patient because the service was completed?
Thanks
Steph Mescher
Valid claims submitted by physical therapists (PTs) in private practice are being denied by some Part B Medicare Administrative Contractors (MACs), according to the Centers for Medicare & Medicaid Services (CMS). These claims are for the professional component (PC) or global code for certain diagnostic services involving electromyography (EMG), nerve conduction velocity (NCV), and sensory-evoked […]
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Two years on, ICD-10-CM still has some rough edges. CMS does not include 7th character options for several codes under category H54. Out of a total of 50,274 7 character codes in the ICD-10-CM 2018 code set, there are 35 codes for which CMS does not include a 7th character options note in the Tabular […]
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