contractor articles (15)
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A14170: Can the general Advance Beneficiary Notice (ABN-G) form be used for both laboratory and other services?A38860: Difference between a condition and a complexity (Therapy Caps)
A38863: Medicare beneficiaries can be automatically excepted from the therapy caps for evaluation services. What CPT codes are included? What are the documentation requirements to support the services?
A38864: What is considered inappropriate use of the therapy cap exception process and the KX modifier?
A38865: With regard to the therapy cap exception process, when is it appropriate to use the KX modifier?
A38866: Can a beneficiary be automatically excepted from the therapy caps without submission of a request for exception or supporting documentation?
A38867: If I have a patient who qualifies for an automatic exception from the therapy caps, do I have to submit the medical records to the Medical Review Department?
A39505: What supporting documentation is required when submitting a manual request for a therapy cap exception?
A39507: How do I request a manual exception to the therapy caps?
A39508: How many additional (prospective) treatment days can a provider or beneficiary request beyond the cap with the therapy cap exception process?
A39509: Where can I get a form to requst a manual exception to the therapy caps?
A39510: What is the time frame for TriSpan to render a decision on a manual request for exception to the therapy caps? How will I know the outcome of my request?
A39511: When should I request a manual exception to the therapy caps?
A42576: What is the appropriate way to document intravenous infusion time for time-specific drug administration codes e.g., C8950, C8951, C8954, C8955, 96422, 96423? Will the nurse initialing the medication administration record suffice for documenting the tim
A47320: WIDESPREAD PROBE REVIEW RESULTS - GROUP PSYCHOTHERAPY
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