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01/14/2013

Be ready for auditors to look at two more years of claims after the American Taxpayer Relief Act extended the look-back period within which CMS can request providers return overpayments to five years.

 
01/14/2013

Your coders will have to get familiar with nearly 40,000 new code pairs – far fewer than the 250,000 released in 2012’s fourth quarter – in CMS’ latest National Correct Coding Initiative (CCI) edits effective Jan. 1.

 
01/14/2013

You’ll have to append the KX modifier when patients exceed $1,900 therapy caps and undergo manual medical review when patients reach $3,700 therapy thresholds in calendar year 2013.

 
 
01/14/2013
Now that Medicare has announced it will cover the new transitional care management (TCM) codes (99495-99496), primary care practices are assessing the post-discharge services they provide to see whether the new codes’ revenue would be worth the added work needed to bill them.
 
01/14/2013

The cut to advanced imaging reimbursement in the fiscal-cliff-related American Taxpayer Relief Act passed this month takes until 2014 to kick in. But if your practice owns some of the heavy hardware that’s taking a hit, you might consider selling it before then. 

 
01/14/2013
The chart examines the top five physician specialties that saw the most denied claims in 2011 based on a Part B News analysis of 2011 Medicare claims data, the latest available. 

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