Keep your critical coding and billing tools with you no matter where you work.
Create your Find-A-Code account today!
tci Part B Insider - 2013 Issue 9
Denial Management: CMS Confirms Ordering/Referring Edits Will Start May 1
Ensure that your doctors and those who order/refer are the correct specialty and that you have their NPIs on file.
Starting May 1, you could get a mountain of denials if you haven’t been prepping for Medicare’s ordering/referring edits.
Part B practices have been waiting patiently for an official word regarding when CMS will turn on the ordering/referring edits, at which point claims without an ordering/referring physician’s NPI could be rejected. CMS recently confirmed that these denials will begin on May 1, according to MLN Matters article SE1305.
CMS had previously hinted at a May 1...
To read the full article, sign in and subscribe to tci Part B Insider.
Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.
Current newsletters added each month
Fully searchable archives - over 4800 articles
ALL years/issues back to 2003 organized by year and issue
Codes mentioned in articles are linked to Code Information pages
Code Information pages link back to related articles
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.