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Find out what you must do to get significant, separately identifiable E/M services paid. The Cigna Group recently updated its reimbursement policy for modifier 25. Effective May 25, if you are billing this health insurance company for an evaluation and management (E/M) service and a minor procedure, you may need to do more than append […]
The post Cigna Updates Modifier 25 Payment Policy appeared first on AAPC Knowledge Center.
You won’t find these codes in your 2023 code books, but they are effective April 1. The Centers for Medicare & Medicaid Services (CMS) has released coding changes and policy updates for the Outpatient Prospective Payment System (OPPS). The updates include the addition of many new HCPCS Level II codes, the deletion of a few […]
The post OPPS April 2023 Update Brings Coding and Policy Changes appeared first on AAPC Knowledge Center.
Proposed rule recommends increase in Medicare reimbursement for ESRD and other policy updates. On June 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2023 end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule. The rule proposes to increase Medicare reimbursement to ESRD facilities, update the ESRD Quality […]
The post CMS Proposes 2023 ESRD Payment and Policy Changes appeared first on AAPC Knowledge Center.
On July 29, 2019, the Centers for Medicare Services (CMS) issued a projected rule that has proposals to update payment policies, payment rates, and quality provisions for services equipped beneath the Medicare Physician Fee Schedule (PFS) on or after Jan 1, 2020.
The Calendar Year (CY) 2020 PFS projected rule is one amongst many planned rules that replicate a broader Administration-wide strategy to make a healthcare system that leads to greater accessibility, quality, affordability, direction, and innovation.
The post Proposed Policy, Payment, and Quality Provisions Changes to the Medicare Physician Fee Schedule for Calendar Year 2020 appeared first on The Coding Network.
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.