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Mandatory Reporting of Clinical Trial Number 25 Aug 2013 | 01:30 pm
Effective January 1, 2014, it will be mandatory to report a clinical trial number on claims for items and services provided in clinical trials that are qualified for coverage as specified in the "Medi...
Check Medicare Claim Status Online 25 Aug 2013 | 01:05 pm
Earlier the status of Medicare claims can be obtained only through automated phone system but now all Medicare contractors are working closely with CMS to integrate “Individuals Authorized Access to t...
IACS Supported CMS Applications and Help Desk Contact Information 25 Aug 2013 | 12:52 pm
This IACS User Guide provides the procedures to obtain an IACS User ID, manage an IACS account, review and approve requests, and manage users for the following CMS applications and Help Desk Contact I...
CMS expands treatment coverage for macular degeneration 7 Jul 2013 | 12:05 pm
The Centers for Medicare & Medicaid Services (CMS) will expand coverage of ocular photodynamic therapy (OPT) with verteporfin for treatment of“wet” age-related macular edema (AMD), the leading cause o...
Functional Limitation Reporting, G-codes and Severity / Complexity Modifiers 5 Jul 2013 | 11:01 pm
The functional data reporting and collection system is effective for therapy services with dates of service on and after January 1, 2013. However, a testing period will be in effect from January 1, 20...
e-Prescribing (eRx) signature requirements 5 Jul 2013 | 10:09 pm
Electronic prescribing is the transmission of prescription or prescription-related information through electronic media. Health care professionals can electronically transmit new prescriptions as well...
Physician signature requirements 5 Jul 2013 | 08:58 pm
Medicare requires that services provided / ordered be authenticated by the author. The signature for each entry must be legible and should include the practitioner's first and last name. Medicare reco...
Increased Medicaid Fee amounts for Vaccines 21 May 2013 | 10:46 pm
The Medicaid fiscal agent completed required coding for vaccine administration codes 90460, 90471, and 90472 for the Affordable Care Act enhanced rate. Physicians must bill the vaccine product code a...
Increased Medicaid Fee amounts for Vaccines 21 May 2013 | 10:46 pm
The Medicaid fiscal agent completed required coding for vaccine administration codes 90460, 90471, and 90472 for the Affordable Care Act enhanced rate. Physicians must bill the vaccine product code a...
Retroactive Reimbursement on Medicaid Claims 21 May 2013 | 10:41 pm
Primary care service codes according to the ACA increase Primary care services designated in the Healthcare Common Procedure Coding System (HCPCS) are as follows: (1) Evaluation and Management (E&M)...
