Aug 14, 2015 | Medical billing basics
The Centers for Medicare & Medicaid Services (CMS) finalized new rules which require physicians and, when applicable, other eligible professionals who write prescriptions for Part D drugs to be enrolled in an approved status or to have a valid opt-out affidavit on...
Aug 6, 2015 | Medical billing basics
Summary The Provider Enrollment, Chain, and Ownership System (PECOS) allow the contractor to verify all national provider identifiers (NPIs), regardless of the jurisdiction in which they are enrolled. Beginning April 1, 2015, physicians and suppliers billing...
Jul 31, 2015 | Medical billing basics
List of Valid ICD-10-CM Codes CMS has posted a complete list of the 2016 ICD-10-CM valid codes and code titles on the 2016 ICD-10-CM and GEMs web page http://www.cms.gov/Medicare/Coding/ICD10/Downloads/2016-Code-Descriptions-in-Tabular-Order.zip . The file is named...
Jul 30, 2015 | Medical billing basics
Provider Types Affected This MLN Matters Article is intended for physicians, providers, and suppliers submitting claims to Medicare Administrative Contractors (MACs), including Home Health & Hospice (HH&H) MACs and Durable Medical Equipment MACs (DME MACs) for...
Jul 22, 2015 | Medical billing basics
What services are included in the global surgery payment? When the physician who furnishes the surgery also furnishes the following services, Medicare includes them in the global surgery payment: •Pre-operative visits after the decision is made to operate. For major...
Jul 10, 2015 | Medical billing basics
Definition of a Global Surgical Package This fact sheet is designed to provide education on the components of a global surgery package. It includes information about billing and payment rules for surgeries, endoscopies, and global surgical packages that are split...
