DecisionHealth, DecisionHealth - 2015 Issue 4 (April)

New coding guidance: More than 150 new codes have daily use limits, but they aren’t without appeal

Don’t forget to revise your billing system and remind staff to watch for reporting limits on services and supplies, such as fluid drainage and tendon sheath injections, that were added to the medically unlikely file that goes into effect April 1. By doing so, you’ll avoid claims mistakes that will require an appeal that clearly demonstrates the medical necessity of services that exceed Medicare’s limits.
 

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