Attention IL, MN, and WI Members: Diagnostic US & US Guidance May Have Been Denied by NGS
National Government Services (NGS), the Part B Medicare Administrative Contractor for Illinois, Minnesota, and Wisconsin has been made aware that some claims for diagnostic ultrasounds CPT® code 76536 and ultrasound guidance CPT® 76942 may be been denied ...
HGBA1C National Coverage Policy Reminder
CMS recently posted an E/M documentation policy change regarding the use of both 95 and 97 E/M guidelines.
For billing Medicare, a provider may choose either version of the documentation guidelines, not a combination of the two, to document a patient encounter. However, beginning for services performed on or after September 10, 2013 physicians may use the 1997...
Attention Florida, Puerto Rico and US Virgin Island AACE Members
Florida Blue Update to “In House Laboratory” Policy for Adequacy Testing
As a result of a hassle factor submitted to the Socioeconomics & Member Advocacy Department, effective July 1, 2013, Florida Blue has added CPT ® codes 88172 and 88177 to their “In Office Laboratory Services” listing as allowed services available for reim...
CMS Updates Effective or Implemented April 1, 2013
Effective April 1, 2013, CMS converted some claim line MUEs (Medically Unlikely Edits) to date of service (DOS) MUEs. The total units of service (UOS) from all claim lines for a HCPCS/CPT code with......
Frequently Asked Coding Questions in regards to the new Consultation Services Payment Policy
Revisions to Consultation Services Payment Policy
New, Revised, Deleted Codes for 2013
This is a partial list of all new, revised, and deleted CPT and HCPCS codes pertinent to endocrinologists for 2013. There is a code freeze on ICD-9-CM codes. ICD-10-CM is scheduled to be implemented on October 1, 2014....
FAQs for Transitional Care Management Coding
CMS Identified Technical Issues