Skip to content

Industry News Archive: February 2010

Systematic Reviews on Selected Pharmacogenetic Tests for Cancer Treatment: CYP2D6 for Tamoxifen in Breast Cancer, KRAS for anti-EGFR antibodies in Colorectal Cancer, and BCR-ABL1 for Tyrosine Kinase Inhibitors in Chronic Myeloid Leukemia

The Agency for Healthcare Research and Quality's (AHRQ) Technology Assessment Program review period for the draft technology assessment has been extended to February 12, 2010.


Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond

The MCPSS that is conducted annually by CMS is designed to collect quantifiable data on provider satisfaction with the performance of Medicare FFS contractors.


New Quick Reference charts now available from the Medicare Learning Network (MLN)

The Medicare Learning Network (MLN) has produced two QUICK REFERENCE CHARTS, which provide information on frequently used CMS web pages.


Medicare Billing Privileges to be Revoked for Revalidation Non-Compliance

Any provider or organization that did not respond to the October revalidation request will have their Medicare PTANs revoked by the end of January 2010.


Medically Unlikely Edits (MUEs)

CMS developed the MUE program to reduce the paid claims error rate for Medicare claims. An MUE is a unit of service (UOS) edit for a HCPCS/CPT code for services that a single provider/supplier rendered to a single beneficiary on the same date of service.


Important Reminder - Timely Claims Filing for Network and Non-Network Providers

TRICARE requires that all claims must be received by the TRICARE West Region claims Processor within one year from the date the services were provided.


Health Net of Connecticut Sued for Security Breach

Connecticut Attorney General Richard Blumenthal is suing Health Net of Connecticut over the company's May 2009 loss of a hard drive holding information on nearly 450,000 enrollees.


Correction to CR 6728 on Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010

Corrections were made to the last file released of CCI edits in January.


CMS and ONC Issue Regulations Proposing a Definition of ‘Meaningful Use’ and Setting Standards for Electronic Health Record

CMS and the Office of the National Coordinator for Health Information Technology (ONC) encourage public comment on two regulations that lay a foundation for improving quality, efficiency and safety through meaningful use of certified Electronic Health Record (EHR) technology.


CLIA-Waived Laboratory Code Updates

Effective for dates of service on or after February 1, 2010, CPT code 84155 (protein, total, except by refractometry; serum, plasma or whole blood) is CLIA waived.


Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment

The 2010 Medicare Clinical Lab Fee Schedule includes a 1.9% reduction.


Billing Unlisted CPT Procedure Codes to Medicare

To best facilitate payment for an unlisted CPT code, please include in the claim’s narrative section what specific procedure is being linked to the unlisted code.


Additional Information Regarding the Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment

This article addresses billing of four codes (G0430, G0431, 80100, and 80101) during the period of January 1, 2010 through March 31, 2010. Further information will be provided regarding billing after March 31, 2010.


84295: Serum sodium

First Coast Service Options Inc. (FCSO) has been made aware of an issue regarding providers receiving denials when billing CPT code 84295.