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With a federal government shutdown more than likely on Friday, CMS has issued guidance that says it will fulfill its necessary functions regardless.

After Congressional inaction allowed the Medicare therapy cap exception to expire on Jan. 1, CMS tells Part B News that it will hold all Medicare claims with the KX modifier “for a short period of time” to make billing those claims easier when, as hoped, Congress reinstates the exception retroactively sometime this year.
Under §1879 of the Social Security Act, LOL is shorthand for limitation on liability of beneficiary where Medicare claims are disallowed. In the handout for her upcoming webinar on the advanced beneficiary notice of noncoverage (ABN), Maxine Lewis, CMM, CPC, CCS-P, president, Medical Coding Management Services, explains how knowing when a patient needs an ABN is less than half the battle.
Providers who want to recommend changes or additions to the current specialty measure sets under the merit-based incentive payment system (MIPS) should mark their calendars: You have until Feb. 9 to let CMS know about any changes you'd like to see for the 2019 MIPS reporting year.
 
 
Providers will find a new entry into the world of advanced alternative payment models (APM) after CMS announced the Bundled Payments for Care Improvement (BPCI) Advanced program, which will reward providers on the basis of their cost-containment scores for 32 distinct episodes of care.

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