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From the 2015 OIG Work Plan
Physicians—Place-of-service coding errors
CMS recently released MLN (Medicare Learning Network) Matters® Number: MM8874 to provide instruction on how to report anesthesia associated with screening colonoscopy and other preventative and screening services for which deductible/co-pay have been waived starting in 2015. When reporting anesthesia in conjunction with procedure code G0105 and G0121, remember to append Modifier 33 - Preventative Services - to anesthesia code 00810 when the service qualifies for waiver of the deductible/co-pay.
AskLeslie.net is teaming up with PRNAdvisors.com to get some things done & get them done the right way!
At a meeting on September 14, 2011, the ICD-9-CM Coordination & Maintenance (C&M) Committee implemented a partial freeze of the ICD-9-CM and ICD-10 (ICD-10-CM and ICD-10-PCS) codes prior to the implementation of ICD-10 which would end one year after the implementation of ICD-10. The implementation of ICD-10 which would end one year after the implementation of ICD-10. The implementation of ICD-10 was delayed from Oct. 1, 2014 to Oct. 1 2015 by final rule CMS-0043-F on July 31, 2014.
New PQRS Frequently Asked Questions Now Available To keep you updated with information on the Physician Quality Reporting System (PQRS), CMS has recently added three new FAQs to the website. Review these FAQs to learn more about PQRS EHR reporting, Adult Treatment Panel clinical guidelines, and Joint National Committee clinical guidelines.
HR 4302, which included a delay of ICD-10 until Oct. 1, 2015 is waiting for the President to sign. Are you for or against?
American Medical News - Gov't
ASA - News
- Providers Frustrated, Seek Accommodation as ICD-10 Draws Near
- CA lawmakers just approved one of the toughest mandatory vaccine laws
- Doctors and hospitals need to talk more. This app can help
- Medicare slow to adopt telemedicine due to cost concerns
- Physicians should talk frankly about the risks of chemical exposures
OIG Criminal & Civil Enforcement
- Cenla Community Action Committee's Financial Management Practices and Systems Did Not Always Meet Federal Requirements
- Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements
- Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements
- Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs
- The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect