I am scheduled to retake my CPC exam in March, for the 4th time. I am aware there are many changes in 2017. I am looking for advice on how to pass this test using the 2016 books. I Appreciate your advice, especially if you have taken the 2017 test with the 2016 books. Thank you.
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Tag Archives: Used
Revised CMS-855R Application to Be Used Beginning January 1, 2017: Reassignment of Medicare Benefits
Physicians and non-physician practitioners must use the revised CMS-855R (Reassignment of Benefits) application beginning January 1, 2017. Medicare Administrative Contractors will accept both the current and revised versions of the CMS-855R through December 31, 2016.
The revised form makes the primary practice location section optional. However, this information is shared with other programs, such as the Physician Compare Initiative, to help beneficiaries identify your practice.
Visit the Medicare Provider-Supplier Enrollment webpage for more information about Medicare enrollment.
Helpful Links
Revised CMS-855R: Click Here to Download
The Medical Management Institute – MMI – Medical Coding News & MMI Updates
Ultrasound used for a nexplanon removal
Pt came in for a Nexplanon removal, but Dr. was not able to find it. Ultrasound was used on PT’s arm in order to locate the device. I know a 11982 with a modifier should be used, but what about the ultrasound? Is it billable and if so, which CPT code should be used? I’m leaning towards CPT 76882. I have used a diagnosis of z97.8. Thank you!!
[Announcement] Private Payor Prices Will Be Used By Medicare to Set Payment Rates for Clinical Diagnostic Laboratory Tests Beginning in 2018
On June 17, CMS released a final rule implementing Section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA), requiring laboratories performing clinical diagnostic laboratory tests to report the amounts paid by private insurers for laboratory tests. Medicare will use these private insurer rates to calculate Medicare payment rates for laboratory tests paid under the Clinical Laboratory Fee Schedule (CLFS) beginning January 1, 2018.
The final rule includes provisions to ease administrative burdens for physician office laboratories and smaller independent laboratories. The final rule will generally require reporting entities to report private payor rates and test volumes for laboratory tests if an applicable laboratory receives at least $ 12,500 in Medicare revenues from laboratory services paid under the CLFS and more than 50 percent of its Medicare revenues from laboratory and/or physician services.
For the system’s first year, laboratories will collect private payor data from January 1, 2016, through June 30, 2016, and report it to CMS between January 1, 2017, and March 31, 2017. CMS will calculate and post the new Medicare rates by early November 2017. These rates will take effect on January 1, 2018.
For More Information:
See the full text of this excerpted CMS press release (issued June 17).
The Medical Management Institute – MMI – Medical Coding News & MMI Updates