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Don’t assume the codes you’ve been using to report drugs and biologicals still apply. The January 2023 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes 184 new codes for reporting services and supplies. Approximately 36 of the new codes were created to separately identify products […]
The post Check Out All the New Codes for Reporting Services and Supplies to Medicare appeared first on AAPC Knowledge Center.
Recipients still have time to report Provider Relief Fund payments late if they can prove extenuating circumstances. If you’re one of the thousands of providers who missed the Provider Relief Fund (PRF) reporting deadline for Period 2, you have a limited window of time to make it right. Providers have until May 13 by 11:59 […]
The post PRF Period 2 Reporting Deadline Approaches appeared first on AAPC Knowledge Center.
Three new diagnosis codes for reporting COVID-19 vaccination status will go into effect April 1, 2022. The codes were presented by the National Center for Health Statistics (NCHS) at the Sept. 14-15, ICD-10 Coordination and Maintenance Committee meeting, so they are not listed in the 2022 ICD-10-CM code book. The new ICD-10-CM codes for reporting […]
The post Reporting COVID-19 Vaccination Status in 2022 appeared first on AAPC Knowledge Center.
Medicare releases two new codes for combination bamlanivimab and etesevimab — the third FDA-approved COVID-19 antibody therapy. Our arsenal of treatment options for COVID-19 expands once again. On Feb. 18, the Centers for Medicare & Medicaid Services (CMS) released two new HCPCS Level II codes for Eli Lilly’s antibody cocktail. This comes after the U.S. […]
The post Reporting Eli Lilly’s Antibody Combo Therapy appeared first on AAPC Knowledge Center.
COVID-19 is a game-changer. Ever since President Trump declared a public health emergency (PHE) Jan. 31, the Centers for Medicare & Medicaid Services (CMS) has been issuing Social Security Act waivers to Medicare and Medicaid policies in rapid fire succession — including waivers to reporting requirements in the Merit-Based Incentive Payment System (MIPS). CMS has […]
The post COVID-19 Derails 2019 MIPS Data Reporting appeared first on AAPC Knowledge Center.
Due to the COVID-19 pandemic, CMS has announced relief measures for providers who are bound to participate in its quality reporting programs, including the Merit-based Incentive Payment System (MIPS).
First, CMS is extending the deadline for submission of 2019 MIPS data from March 31, 2020, to April 30, 2020. Second, and perhaps most significantly, if no MIPS data is submitted by MIPS-eligible clinicians by the April 30 deadline, those clinicians will automatically qualify for the existing “extreme and uncontrollable circumstances policy” and will be guaranteed a neutral (0%) Medicare Part B payment adjustment for the 2021 MIPS payment year.
A link to the full CMS statement is available at: https://www.cms.gov/newsroom/
The post Due to Covid-19 Crisis Providers Can Skip 2019 CMS MIPS Reporting appeared first on The Coding Network.
Quality data submission may be optional in the months ahead. If you’re struggling to compile your Medicare quality reporting data, relief is in sight. In light of the COVID-19 pandemic, the Centers for Medicare & Medicaid Services (CMS) is offering much needed assistance with extensions to submission deadlines and additional hardship exceptions. “CMS recognizes that […]
The post CMS Pushes Back Quality Reporting Deadlines appeared first on AAPC Knowledge Center.
On Jan. 30, the World Health Organization (WHO) declared the 2019 novel coronavirus (COVID-19) disease outbreak a public health emergency of international concern. The outbreak has since been elevated to a pandemic and President Trump has declared the coronavirus pandemic a national emergency in the United States. Communities across the country are shutting down to […]
The post New CPT® Code for Reporting COVID-19 Test appeared first on AAPC Knowledge Center.
By Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC-I, AHIMA-approved ICD-10-CM/PCS trainer
Payer-specific rules — especially rules that vary for every claim — not only make collecting revenue difficult, but also add to the cost of collection of monies earned by the physicians. A blog clarifies Novitas’ instructions for reporting modifier 50 when bilateral procedures are performed. The instructions from Novitas state that bilateral services should be […]
The post Reporting Bilateral Services: Conflicting Information Causes Confusion appeared first on AAPC Knowledge Center.