Date: 2015-11-01 Contact: CMS Local Coverage Determination (LCD) #L35996 Coverage Indications, Limitations, and/or Medical Necessity Introduction: This policy does not address sacral conditions or injections or neurotomies. Sacral injections, … Continue reading
As predicted, the transition to ICD-10 has slowed down the industry as a whole. Our processes have also been impacted and we are not current submitting charges with the payers. … Continue reading
Medicare Part B eNews Disclaimers Used as Part of Physician’s Signature WPS Medicare has recently been informed of a new trend in medical record documentation – that of using some … Continue reading
The ICD-10 October 1st deadline is here. Please take a moment to review and ensure you will be documenting and sending complete ICD-10 coding. Type: Describes a condition Malignant, … Continue reading
Coventry / Aetna Payment Policy Title: Anesthesia Service for Pain Management and Back Injection Procedure Coventry/Aetna will not allow payment for anesthesia services including MAC, with or without modifier … Continue reading
October 2015 Be more clinically specific. ICD 10 requires more knowledge in Anatomy & Physiology, Medical Terminology, Pharmacology, and Medical Science, thus expecting more details when reporting. 13,000 ICD 9 … Continue reading
Title: Diagnosis and Treatment of Sacroiliac Joint Pain POLICY Current Effective Date: September 18, 2015 A. Injection into the sacroiliac joint for diagnostic or therapeutic purposes may be considered medically … Continue reading
BCBS of Kansas is now requiring all healthcare professionals (including CRNAs) to be credentialed prior to being approved as a new participating provider. Previously they only required physicians to complete … Continue reading
Title: Site of Service Guidelines for Certain Outpatient Surgical Procedures Policy Effective Date: October 1, 2015 (except Colorado effective Nov. 1, 2015; and Iowa and Illinois effective Dec. 1, 2015) … Continue reading
Right around the corner the new code set for diagnosis codes arrives. After delays and debates, October 1, 2015 will be the day we all have to begin using ICD-10 … Continue reading
Date: 2015-07-09 Contact: GO.CMS.GOV/MEDIA Hip and knee replacements are the most common inpatient surgery for Medicare beneficiaries and can require lengthy recovery and rehabilitation periods. In 2013, there were more … Continue reading
Medicare Revalidation Letter Notices – Please be sure to get a copy! Medicare requires each provider be revalidated every 5 years. Through the revalidation process, each PTAN (Provider Transaction Access … Continue reading
Notification from BCBS KC regarding the Physician Fee Schedule for the Participating/Traditional Plans: “For dates of service beginning on and after September 1, 2015, the Participating Fee Schedule will reflect … Continue reading
Title: Epidural Steroid and Facet Injections for Spinal Pain Policy Effective Date: June 1, 2015 Epidural steroid injections in this policy apply to the lumbar spine only. This section … Continue reading
Title: Facet Joint Denervation (Cervical and Lumbar) POLICY Current Effective Date: April 30, 2015 A. Thermal radiofrequency denervation of cervical facet joints (C 2-3 and below) and lumbar facet joints … Continue reading
Sterilization Forms Kansas Department of Health and Environment has updated the procedure in which sterilization forms are now being required. This applies to Amerigroup, Sunflower, UHC Community and traditional KanCare … Continue reading
This New Year of 2015 once again holds changes in PQRS code submission to Medicare. Medicare has expired Measure #30, Antibiotic Administration and changed a couple of the codes for … Continue reading
Beginning January 1, 2015, we all will be seeing changes in how we bill and receive payment for anesthesia services provided for colonoscopies. Recall, one of the big items of … Continue reading
2015 Professional Providers Quality-Based Reimbursement Program (QBRP) BCBS KS has released the requirements for the 2015 Professional Providers QBRP. Attached you will find the program attachment sent by BCBS KS … Continue reading
62263 Percutaneous lysis of epidural adhesions using solution injection (e.g., hypertonic saline, enzyme) or mechanical means (e.g., catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or … Continue reading