NCD for Cardiac Pacemakers

On February 12, 2014, the Centers for Medicare and Medicaid (CMS) published MLN Matters Article # MM8525 regarding the revised National Coverage Determination (NCD) on single chamber and dual chamber permanent cardiac pacemakers. This NCD, 20.8.3, concludes that implanted permanent cardiac pacemakers, single chamber or dual chamber, are reasonable and necessary for the treatment of … [Read More]

Rules, Rules, Rules

How is your facility going to get this right? Today as healthcare providers, clinical staff and coders we are up against many challenges. With ICD-10-CM/PCS implementation just less than a year away there is urgency to get ready now to avoid lost reimbursement later. 5010 Testing is still continuing for many facilities and payers. Statistics … [Read More]

OPPS Second Quarter Changes – Effective April 1, 2013

CMS releases extensive OPPS second quarter changes that will affect all departments and revenue. To review the April 1, 2013 changes click on the links provided. OCE:   http://www.cms.gov/Medicare/Coding/OutpatientCodeEdit/OCEQtrReleaseSpecs.html Transmittal 2664:   http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/Downloads/R2664CP.pdf Medlearn Matters:   http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM8228.pdf Second QTR Addendum A and B:   http://cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Addendum-A-and-Addendum-B-Updates.html Share