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03/28/2014

Providers could have one more year to prepare for ICD-10 after the U.S. House of Representatives voted “yes” via voice vote to a 12-month sustainable growth rate (SGR) patch bill March 27 that included an ICD-10 delay by at least one year to Oct. 1, 2015.

03/28/2014

Based on the first batch of Medicare local coverage determinations (LCDs) with ICD-10 codes, practices should prepare to code to a higher specificity than in ICD-9 or risk denial.

03/28/2014

Use new lists of payable ICD-10 codes to conduct a documentation gap analysis for your clinicians and help your staff understand the level of coding specificity that will be required for payment, recommends one coding expert.

03/28/2014

You stand to lose at least $20 per claim that your practice bills 99211 with venous blood draw (36415) services performed on the same day because of new Medicare coding rules.

03/28/2014

Practices should see additional documentation requests (ADRs) when Medicare contractors are looking at their claims related to denied claims since CMS rescinded a recent transmittal.

03/28/2014

Your practice stands a good chance of seeing more money if you bill injectable drugs to Medicare. April 2014 average sales price (ASP) data show more drugs going up in price than down, including some really big gainers.

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