tci Part B Insider - 2016 Issue 29

WPS Medicare Identifies This Major Coding Problem Among ENTs

Hint: Don’t skimp on documentation. Most coding experts have heard the old adage, “If it wasn’t documented, it wasn’t done.” But some ENTs may have forgotten this famous mantra, and one payer is watching. WPS Medicare, which provides Part B coverage in Michigan and Indiana, recently revealed the results of its Comprehensive Error Rate Test (CERT), and found that 100 percent of the problems discovered among otolaryngology claims involved insufficient documentation. For instance:WPS noted that an otolaryngologist administered immunotherapy injections and reported 95117 (Professional services for allergen immunotherapy not including provision of allergenic extracts...

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.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.