contractor articles (301)
Active Articles:
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A651: Open VertebroplastyA919: Reminder: Physical Therapy and Occupational Therapy Date-Last-Seen Requirement is 30 Days
A2548: Ambulance Suppliers
A2552: NOC Billing
A2556: Alefacept
A2560: Xenograft
A2564: Medicare and Podiatric Services
A2581: Modifier 59
A2585: Anesthesia in Unusual Circumstances
A2589: Nursing Home Admission Clarification
A2597: Overpayment Determinations for ESRD-Related Diagnostic Tests Under Skilled Nursing Facility (SNF) Consolidated Billing (CB)
A2601: Ambulance Suppliers Affected by Jurisdictional Change
A2607: Billing for Multiple Surgical Procedures in the Same Operative Session
A2839: Clinical Laboratory Improvement Amendments (CLIA)
A3212: Group Practice and Global Surgery
A3228: Ambulatory Blood Pressure Monitoring Covered April 1
A3235: Coding for Removing a Central Line
A3240: Physician Assistants-Coverage and Limitations
A3244: Changes in Medicare Coverage
A3250: Medicare System to Deny Additional Inappropriate Code Pairings
A3260: Off-label Medical Drug Use and Coverage
A3266: Breast Brachytherapy
A3335: Occupational Therapy Services
A3341: Coverage of Services Provided by an Independent Physical Therapist
A3346: Psychotropic Drug Use in Skilled Nursing Facilities
A3352: Wisconsin, Illinois, and Michigan Only-Administration of Drugs
A3357: Medical Policy Defines Covered Routine Foot Care
A3361: Practical Uses of the GY, GA, and GZ Modifiers
A3366: Nail Debridement
A3370: Medical Necessity
A3413: Physical Therapy Services
A3422: Implantable Pain Pumps
A3431: Pleural Catheter and Pleurx Drainage Kit
A3437: Feeder Vessel Therapy
A3441: Intradiscal Electrothermal Therapy
A3445: Kyphoplasty
A3449: Transpupillary Thermotherapy
A3454: Breast Bracytherapy
A3467: Beneficiaries with Vision Impairment
A3471: Noncontact Normothermic Wound Therapy (NNWT)
A3475: Medical Documentation
A3593: Coverage and Billing for Percutaneous Image-guided Breast Biopsy
A3606: Home Prothrombin Time International Normalized Ratio (INR) Monitoring
A3621: Anthrax: Medicare Coverage and Coding
A3636: Psychotherapy Services
A3856: Mammography Coverage Update
A3860: Clinical Psychologist Services
A3864: Routine Foot Care Services
A3868: New Technology Coverage Process
A3872: Nutrition Therapy
A3940: Incarcerated Medicare Beneficiaries
A3944: Intestinal Transplantation
A3948: CPT Codes 92980, 92982,92984: Coronary Angioplasties and Stentings
A3955: Claims Involving Beneficiaries Who Have Elected Hospice Care
A3964: Usually Self-administered Drugs
A3969: Licensed Clinical Social Worker
A3976: Congregate Care
A3989: Instructions for Billing Screening Glaucoma Services in 2002
A3994: Honest Mistakes Versus Fraud
A3999: Liver Transplant Coverage
A4006: Laboratory Tests and Proper Diagnosis Codes
A4011: Preventive and Screening Services
A4084: Intravascular Ultrasound (IVUS)
A4097: Non-Invasive Vascular Studies and End Stage Renal Disease (ESRD) Patients
A4108: Clinical Trials
A4114: FAO Schwarz and Medicare
A4332: Q4050 and Q4051 Codes for Splints and Casts
A4456: Coding for Removing a Chest Tube
A4494: Glucose Monitoring Coverage
A4500: Chelation Therapy-M0300
A4511: Ultrafast CT Scan of the Heart
A5637: Outpatient Rehabilitation Services
A5645: Reduction of Dislocated Joints
A11631: Hand-Carried Ultrasound Examinations
A11640: Drug Eluting Intracoronary Stents
A11651: Stereotactic Radiosurgery
A11659: From the Medicare Learning Network at CMS: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners
A11665: ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers
A16059: Evaluation and Management Documentation
A16162: Coding Reminder: Local Anesthetics Not Separately Reimbursable
A16171: Ambulance Mileage
A16176: Chiropractic - Initial Visit Reminder
A16182: BLS Suppliers Submitting ALS Services and Procedures
A16188: Documentation of History and Exam for Evaluation & Management Services
A16203: Low Energy Extracorporeal Shock Wave Therapy
A16207: Payment Policy When More Than One Patient is Onboard an Ambulance
A16211: Documentation of Medical Decision Making for Evaluation & Management Services
A16229: New National Modifiers to Identify Number of Patients Seen
A16233: The Role of the Prepayment Code Probe in Provider Education
A16242: How to File an Attachment for Medicare
A16246: Frequently Asked Questions
A16250: All Influenza, Pneumococcal, and Hepatitis B Vaccine Claims Require a Payable Diagnosis Code
A16257: New Carrier-Priced Procedures for 2004
A16261: Medigap Claims and Electronic Submission
A16595: Multilayered Compression Dressings for Venous Stasis Ulcers
A16600: Services Provided in a Rural Health Clinic
A16604: Investigational Services - Non-Covered
A16613: Important Information from Provider Enrollment on Why Your Billing Information Must Match and Provider Numbers
A17439: Clarification: Only the Provider Can Perform HPI Portion of Patient's History
A17444: Payment for Wisconsin Portable X-Ray Transportation Services Providers
A18332: Billing and Coding Guidelines for OPHTH-003
A18349: Billing and Coding Guidelines for RAD-032
A19232: Criteria for Using the CB Modifier
A19237: E & M Coding for Home Visits
A19241: Is Your Office Submitting Accurate Claims Information for Chiropractic Services?
A19245: Follow-Up Inpatient Consultations (99261 - 99263)
A19249: Magnetic Resonance Cholangiopancreatogram
A19267: NOC and Modifier 22 Claims: Timely Adjudiction
A19271: CERT Requests for Documentation are Vital
A19275: Co-Surgery on Bilateral Knee Replacement
A19280: Don't Let Your Sleep Studies Keep You Up at Night
A19284: SNF Consolidated Billing and Ambulance
A19288: Alefacept
A19292: Attention PT/OT Providers: New Initial Physician Evaluation Requirements
A19296: Additional Information Regarding Local Coverage Determinations (LCDs)
A19945: "Carve Out" Preventive Services
A19949: CPT/HCSPCS Codes Payable to Podiatrists
A20489: Prepayment Evaluation and Management Code Probe Results: CPT Code 99213
A20493: Ambulance Mileage Reminder for Medicare Claim Submitters
A20497: Coding of Subsequent Hospital Care
A20501: Extremity Arterial/ Venous Studies (Including Digits)
A20505: Surgeons, Co-Surgeons, Assitant Surgeons, and Team Surgeons
A20637: Renewed Moratorium on Outpatient Therapy Codes
A20791: Billing and Coding Guidelines for CV-035
A20821: Billing and Coding Guidelines for CV-007
A20822: Billing and Coding Guidelines for CV-026
A20823: Billing and Coding Guidelines for CV-037
A20824: Billing and Coding Guidelines for DERM-004
A20825: Billing and Coding Guidelines for DERM-008
A20826: Billing and Coding Guidelines for ENT-012
A20828: Billing and Coding Guidelines for GSURG-036
A20829: Billing and Coding Guidelines for OPHTH-006
A20866: Clarification of Carve-Outs for Preventive Services
A20872: Stereotactic Radiosurgery
A20877: Vascular Cryoplasty
A20881: Revision to the List of Self Administered Drugs
A21710: Ambulance Services to a Physician's Office
A21810: Anesthesiologists Performing Non-Anesthesia Related Evaluation & Managment Services
A21814: Radiofrequency and Laser Ablation of Varicose Veins of the Lower Extremities
A21818: Prepayment Evaluation and Management Code Probe Results: CPT Code 99232
A22259: Billing and Coding Guidelines for OPHTH-016
A22260: Billing and Coding Guidelines for PSYCH-013
A23077: Hematocrit Value Required on Claims
A23412: Application of the Medicare Secondary Payer (MSP) for the Working Aged Provision to Former Spouses and the MSP for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program
A23620: Physician Certification Statement for Ambulance Services
A23624: Ambulance Specialty Care Transport
A23628: BLS/ALS Ambulance Joint Response
A23835: Clarification of 1995 and 1997 Guidelines for Evaluation & Management (E/M) Services
A23840: Real-Time Outpatient Cardiac Telemetry
A24256: Hematocrit Value Required on Claims
A24260: Place of Service Impact on Reimbursement
A24715: Cardiac Catheterization and Coronary Angiography
A24716: Electrocardiographic (EKG or ECG) Monitoring (Holter or Real-Time Monitoring)
A24717: Myocardial Perfusion Imaging
A24718: Insertable Loop Recorder (ILR)
A24721: Skin Substitutes [Apligraf (Graftskin)/Dermagraft®]
A24725: Blepharoplasty, Bleparoptosis and Brow Lift
A25242: MRI and CT Diagnostic Tests Ordered by Podiatrists
A25247: CPT Codes Payable to Podiatrists
A25723: Vascular Cryoplasty Revisted
A27046: Billing and Coding Guidelines for INJ-038
A27081: Billing and Coding Guidelines for CV-033
A27090: Billing and Coding Guidelines for GSURG-021
A33249: Billing and Coding Guidelines for CV-014
A33253: Billing and Coding Guidelines for CV-027
A33260: Billing and Coding Guidelines for OPHTH-023
A33264: Billing and Coding Guidelines for PHYS-066
A33272: Billing and Coding Guidelines for CV-034
A33276: Billing and Coding Guidelines for PHYS-077
A33972: Billing and Coding Guidelines for INJ-023
A33984: Billing and Coding Guidelines for PATH-028
A33988: Billing and Coding Guidelines for RAD-004
A33992: Billing and Coding Guidelines for HONC-019
A34354: Billing and Coding Guidelines for CV-039
A34360: Billing and Coding Guidelines for HONC-009
A34368: Billing and Coding Guidelines for PATH-027
A34820: ATTENTION: G0001 IS NO LONGER A VALID CODE EFFECTIVE JANUARY 1, 2005
A34824: Unprocessable Claim Denials
A34828: Vascular Cryoplasty Revisited
A34833: J3490 (Not Otherwise Classified (NOC) HCPCS Code): Billing Tips
A34836: Place of Service Impact on Reimbursement
A34837: Place of Service Impact on Reimbursement
A34841: Place of Service Codes and Physician's Reimbursement
A34845: Revision of March 2005 Physical Therapy Code Probe Review Article
A34848: Inpatient, Outpatient, Office: Where in the World is my Patient?
A34854: Why Choosing the Correct Place of Service (POS) Code is Important
A34855: Specialty Care Transport
A34861: BILLING FOR BRACHYTHERAPY SEEDS IN AN AMBULATORY SURGERY CENTER (ASC) SETTING
A34865: CERT Services Contributing to the Error Rate
A34868: Expansion of Coverage for Chiropractic Services Demonstration
A34876: Time Documentation
A34881: WPS Commitment to Error Rate Reductions
A34884: Gastric Stimulators for the Treatment of Gastroparesis
A34894: CERT Documentation - Chiropractic and Physical Therapy Services
A34898: Chiropractic X-Rays
A34983: Billing and Coding Guidelines for MS-004
A34991: Billing and Coding Guidelines for RAD-033
A34995: Billing and Coding Guidelines for RAD-026
A35018: Billing and Coding Guidelines for GSURG-037
A35059: Billing and Coding Guidelines for CHIRO-001
A35060: Billing and Coding Guidelines for CV-004
A35062: Billing and Coding Guidelines for CV-016
A35063: Billing and Coding Guidelines for CV-017
A35064: Billing and Coding Guidelines for CV-029
A35066: Billing and Coding Guidelines for CV-032
A35067: Billing and Coding Guidelines for CV-036
A35068: Billing and Coding Guidelines for GI-009
A35069: Billing and Coding Guidelines for GSURG-031
A35071: Billing and Coding Guidelines for GSURG-037
A35072: Billing and Coding Guidelines for GSURG-041
A35073: Billing and Coding Guidelines for GU-016
A35074: Billing and Coding Guidelines for INJ-018
A35075: Billing and Coding Guidelines for INJ-029
A35076: Billing and Coding Guidelines for INJ-033
A35077: Billing and Coding Guidelines for INJ-035
A35078: Billing and Coding Guidelines for OPHTH-025
A35080: Billing and Coding Guidelines for PHYSMED-012
A35081: Billing and Coding Guidelines for RAD-014
A35082: Billing and Coding Guidelines for RAD-023
A35225: Billing and Coding Guidelines for GSURG-034
A35231: Billing and Coding Guidelines for NEURO-004
A36074: Advance Beneficiary Notice (ABN) - What is it all About?
A36080: Specialty Care Transport Update
A36084: Hospice Care - When is Place of Service (POS) 34 Appropriate, and When Should I Use Another POS Code?
A36089: Procedure Code A4643 Replaced with Q9952
A36271: Billing and Coding Guidelines for PSYCH-014
A36279: Billing and Coding Guidelines for HONC-010
A36283: Billing and Coding Guidelines for GU-020
A36287: Billing and Coding Guidelines for GU-003
A36291: Billing and Coding Guidelines for GSURG-039
A36295: Billing and Coding Guidelines for RAD-035
A37525: Billing and Coding Guidelines for RAD-036
A38834: Billing and Coding Guidelines for RAD-034
A39885: COVERAGE INFORMATION FOR PORTABLE X-RAY SUPPLIERS (SPECIALTY 63)
A39929: ADVANCE BENEFICIARY NOTICE (ABN) – WHAT IS IT ALL ABOUT?
A39933: SPECIALTY CARE TRANSPORT UPDATE
A39937: HOSPICE CARE – WHEN IS PLACE OF SERVICE (POS) 34 APPROPRIATE AND WHEN SHOULD I USE ANOTHER POS CODE?
A39941: PROCEDURE CODE A4643 REPLACED WITH Q9952
A39945: MISSING DOCUMENTATION
A39949: Q4080 BILLING INSTRUCTIONS
A39953: MULTIPLE ANESTHESIA SESSIONS IN A DAY
A39957: COMMON WORKING FILE (CWF) CHANGES AFFECTING AMBULANCE SUPPLIERS
A39961: EVALUATION AND MANAGEMENT: HISTORY COMPONENT
A39965: BILLING FOR OPHTHALMOLOGIC USE OF AVASTIN (BEVACIZUMAB)
A39969: EVALUATION AND MANAGEMENT: THREE CHRONIC CONDITIONS
A39975: NOVICE KNOW HOW - APPROPRIATE USAGE OF MODIFIER 25
A39979: COMMON CERT ERRORS – PODIATRY
A40021: Home Visit Documentation
A40025: New Code for Billing Computed Tomography Angiography (CTA)
A40029: Off Label Use of Avastin (Bevacizumab)
A40033: Instructions For Reporting New HCPCS Code V2788 Presbyopia-Correcting Intraocular Lenses (P-C IOLS)
A40037: Common CERT Errors - Nephrology
A40041: BILLING FOR PRESERVATIVE FREE DIPTHERIA/TETANUS
A40045: COMMON CERT ERRORS - CHIROPRACTIC
A40049: SECOND OPINION – TO BILL, OR NOT TO BILL A CONSULTATION
A40131: Billing and Coding Guidelines for PSYCH-015
A40189: Facility Services - Choosing the Correct Place of Service (POS)
A40192: WHEN IS PLACE OF SERVICE 11 (OFFICE) CORRECT?
A40195: FLU AND PNEUMONIA VACCINE CODING AND ALLOWANCE
A40199: NEW G CODE FOR POWER MOBILITY DEVICES (PMDS)
A40203: AMBULANCE COMPANIES’ USE OF ADVANCE BENEFICIARY NOTICES (ABN)
A40206: PLACE OF SERVICE (POS) 60 - MASS IMMUNIZATION CENTER
A40539: Non-Skilled Therapy Services
A40543: Novice Know How - The National Correct Coding Initiative (NCCI)
A40547: Common CERT Errors - Cardiology
A40551: Billing of Bilateral Procedures
A40555: When Do I Use Skilled Nursing Facility and When Do I Use Nursing Facility Place of Service Codes?
A40559: Vagal Nerve Stimulation for Depression
A40563: SERMORELIN
A40567: BILLING FOR MISSED APPOINTMENTS/NO-SHOWS
A40571: 2006 AMBULANCE FEE SCHEDULE TRANSITION
A40575: MANY PROCEDURE CODES (INCLUDING 90772) AFFECTED BY THE NATIONAL CORRECT CODING INITIATIVE (CCI) EDITS FOR 2006
A40579: CORONARY (CTA) CODING INSTRUCTIONS
A40583: THERAPY CAP EXCEPTIONS
A40587: GENERAL MEDICAL NECESSITY REQUIREMENTS FOR A THERAPY CAP EXCEPTION
A40591: BILLING FOR REPLACEMENT OF AUTOMATIC IMPLANTABLE CARDIOVERTER DEFIBRILLATORS (AICD OR ICD)
A40737: ONCOLOGY QUESTIONS AND ANSWERS (Q&As)
A40742: Using Home Place of Service (12)
A40746: BEVACIZUMAB (AVASTIN) FOR NEOVASCULAR AGE-RELATED MACULAR DEGENERATION
A40750: PROTHROMBIN TIME WITH BILLING OF AN EVALUATION AND MANAGEMENT SERVICE
A40754: Follow-Up to the April 26, 2006 Clinical Laboratory Teleconference
A40826: Billing and Coding Guidelines for GSURG-038
A40837: Billing and Coding Guidelines for CV-012
A40867: Is it Urgent Care or Emergency Department Services?
A40871: Evaluation and Management (E/M) Services - Usage of the GE modifier for Primary Care Exceptions
A40875: Critical Care Services
A40926: Billing and Coding Guidelines for GSURG-042
A40930: Billing and Coding Guidelines for PHYS-072
A41346: Billing and Coding Guidelines for CV-040
A45787: Billing and Coding Guidelines for NEURO-005
A48220: Properly Coding Surgical Cases
A48224: BILLING FOR PET SCAN CLAIMS AS PART OF THE NATIONAL ONCOLOGIC PET REGISTRY (NOPR)