News

 

Mitosol gets new HCPCS code

Mitomycin is sometimes used in trabeculectomy surgery as an antimetabolite (to inhibit scar formation). It has also been used by other ophthalmic specialties with the same goal; inhibition of scar formation. Until recently, no...

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Revalidating Your Group PTAN with Medicare

Group revalidation requests are in the process of being delivered.  Just like physician revalidation requests, you have 60 days to respond or your PTAN will be deactivated. The fastest way to revalidate is through...
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UHC Develops “ANN” Form

On October 1, 2012, UnitedHealthCare released an Advance Notice of Non-coverage form (ANN) for use with Medicare Advantage plan members to notify them that a particular service may not be covered by their plan....

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Name Mismatch = Claim Rejection

CMS transmittal 2449 instructs Medicare Administrative Contractors (MACs) to reject claims if the name on the claim is not an exact match to the name associated with the Health Insurance Claim Number (HICN) in...
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E Rx Hardship Exemption

It is still possible to request a hardship exemption for electronic prescribing to negate the 1.5% payment adjustment in 2013. The Quality Reporting Communication Support Page will re-open on November 1, 2012 through January...

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RAC E/M Code Audits

CMS recently approved a request by the Recovery Audit Contractor (RAC) for Region C, Connolly Consulting Associates, to perform reviews for incorrect billing of evaluation and management claims. At the present time, this will...
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ICD-10 Implementation Delay Finalized

On Friday, August 24, 2012, the department of Health and Human Services announced that the deadline for ICD-10 implementation will be October 1, 2014. This is a one year delay from the October 1,...
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