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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.
Review the rationale behind the legislation and learn the reason for the update. The Centers for Medicare & Medicaid Services (CMS) recently released its seventh annual update to the Drug Spending Dashboards to include data for 2021 as the agency continues to implement the Inflation Reduction Act. What Is the Inflation Reduction Act? The Inflation […]
The post CMS Updates Drug Spending Dashboards appeared first on AAPC Knowledge Center.
Healthcare providers submitting claims for services, supplies, and accessories ordered under the Medicare Intravenous Immune Globulin (IVIG) Demonstration can expect to see an approximate 2.1 percent payment increase over last year. The calendar year 2023 rate for HCPCS Level II code Q2052 is $ 392.56, compared with $ 384.59 in 2022. What is the Medicare Intravenous Immune […]
The post <strong>Medicare Updates IVIG Demonstration Payment for 2023</strong> appeared first on AAPC Knowledge Center.
Watch new code descriptors for the terms ‘booster’ and ‘third dose.’ On Dec. 8, the U.S. Food and Drug Administration amended the emergency use authorizations (EUAs) of the bivalent Moderna and Pfizer-BioNTech COVID-19 vaccines. Healthcare providers can now administer these boosters to patients 6 months of age and older. Here’s how to code the supply […]
The post FDA Updates EUAs for Pediatric Bivalent Vaccines appeared first on AAPC Knowledge Center.
But many of the changes to the Medicare Claims Processing System are retroactive. A quarterly update to the Medicare Physician Fee Schedule Database (MPFSDB) requires Medicare Administrative Contractors (MACs) to make several changes to their claims processing systems, many of which are effective prior to July 1. MACs are not required to search their files […]
The post CMS Updates the MPFSDB for July ’22 appeared first on AAPC Knowledge Center.
April is upon us. And for those who code and bill for products and services provided in the Ambulatory Surgical Center (ASC) setting, it’s time to familiarize yourself with the quarterly updates to the ASC payment system. The changes to codes and calendar year (CY) 2022 payment rates for ASCs released by the Centers for […]
The post April Brings ASC Payment System Updates appeared first on AAPC Knowledge Center.
Coding highlights and other insight. The HCPCS Level II code set used to report medical services and supplies will include 37 new codes effective April 1, 2022. Also in the second quarter update, five codes will be deleted and one modifier’s description will be revised. Lay Terms for New Codes Among the new codes being […]
The post CMS Updates HCPCS Level II for Q2 appeared first on AAPC Knowledge Center.
Weeks after finalizing payment rates and policy changes affecting Medicare services furnished in hospital outpatient and Ambulatory Surgical Center (ASC) settings for calendar year (CY) 2022, the Centers for Medicare & Medicaid Services (CMS) released updates to the ASC payment system, effective Jan. 1, 2022. Make sure your billing staff knows about these changes. January […]
The post ASC Payment System Updates: January 2022 appeared first on AAPC Knowledge Center.
Code updates prompted the release of Change Request (CR) 12377 by the Centers for Medicare & Medicaid Services (CMS) on Oct. 13. The updates to chapters 3, 18, and 32 of the Medicare Claims Processing Manual Pub. 100-04 are effective Nov. 17, 2021. CR12377 further clarifies that “Unless otherwise specified, the effective date is the […]
The post CR12377 Updates Coding in Medicare Claims Processing Manual appeared first on AAPC Knowledge Center.
What are the latest changes? Get the facts, fast. Fourth quarter updates to ICD-10-CM and HCPCS Level II code sets and Medicare payment systems happen every year but, like the weather, we’re often caught by surprise. And what a difference a day makes! Proper coding on Sept. 30 may not be proper coding on Oct. […]
The post Coding and Billing Updates – September 2021 appeared first on AAPC Knowledge Center.