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News



ICD-10 Test Claims Week

CMS has announced that there will be an opportunity to test claims submission with ICD-10 codes. If you send claims directly to your Medicare contractor you need to participate. If your billing...

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HIPAA Security Violation

Security risk analysis continues to grow in importance as it relates to safeguarding PHI (protected health information).  Despite performing risk analyses, Idaho State University’s medical clinic incurred a breach resulting from disabling of firewall...

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Drug Reimbursement – Mitosol

Mitosol® (mitomycin for solution) is an antimetabolite indicated as an adjunct to ab externo glaucoma surgery.  It was approved by the Food and Drug Administration (FDA) in February 2012, and subsequently approved by CMS...

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ICD-10 Testing with Medicare MACs

It appears that CMS has had a change of heart regarding testing your ability to transmit claims with ICD-10 codes prior to the October 1, 2014 implementation date.  Previous comments by CMS indicated that...

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2014 Payment Rules Delayed

You will need to wait a bit longer this year than in years past to view the 2014 Medicare Physician Fee Schedule (MPFS). The Centers for Medicare and Medicaid Services (CMS) announced a...

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ICD-10 Update

The Centers for Medicare and Medicaid Services (CMS) continues to publish important information relating to ICD-10 implementation. ICD-10-CM codes will be required on claims for dates of service starting October 1, 2014.

MLM...

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Denied Claims Set for Reprocessing

The NCCI edits effective July 1, 2013, which bundled most exams with minor and major surgical procedures, have caused numerous claim denials.  Many Medicare contractors published an acknowledgment of the problem on their websites...

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