Mckesson Claimsxten™ Launches March 1 2012

The amount that must remain in controversy for ALJ hearing requests filed on or before December 31, 2011, is $130. This amount will remain the same for calendar year 2012.    more

The 5010 versions of the institutional and professional claim implementation guides mandate that when claims use non-specific procedure codes a corresponding description of the service is now required.    more

CMS is anticipating Congressional action to avert the negative update for the 2012 Medicare Physician Fee Schedule. Therefore, CMS is extending the 2012 Annual Participation Enrollment Period through February 14, 2012. The enrollment period now runs November 14, 2011, through February 14, 2012.    more

The NMP22 Bladder Check Test is used in the diagnosis and monitoring of bladder cancer. NAS will allow coverage and payment for this test when used to monitor bladder cancer between cystourethroscopy intervals. Effective for dates of service on or after January 1, 2012, use the following codes:    more

Palmetto is currently updating the MolDx program to reflect the following suggestions from the laboratory industry:    more

Effective retroactively for dates of service on or after June 1, 2011, modifier 90 (reference [outside] laboratory) is an allowed modifier for HCPCS code G0434 (drug screen, other than chromatographic; any number of classes, by CLIA waived test or moderate complexity test).    more

Effective February 1, 2012, the Indiana Health Coverage Programs (IHCP) has linked CPT code 83516 ñ Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quali-tative or semiquantitative, multiple step method to revenue code 300 ñ Laboratory for dates of service on or after February 1, 2012.    more

This notice is to advise interested parties of a Military Health System (MHS) demonstration project entitled TRICARE Evaluation of CMS Approved Laboratory Developed Tests Demonstration Project.    more

The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Currently, the MPPR on diagnostic imaging services applies only to technical component (TC) services.    more

The latest package of CCI edits, Version 18.0, is effective January 1, 2012 and includes all previous versions and updates from January 1, 1996, to the present. It will be organized in the following two tables: • Column 1/Column 2 Correct Coding Edits, and • Mutually Exclusive Code (MEC) Edits.     more

The following new Claim Adjustment Reason Codes were approved by the Code Committee in October, and must be implemented, if appropriate, by April 2, 2012. New Codes ñ CARC:     more

Physicians and facilities will have more time to qualify for government incentives to achieve meaningful use of electronic health records (EHRs).    more

This article is to remind providers who bill Medicare Part A services that effective for dates of service beginning January 1, 2012, a brief hold will be placed on all claims. The hold will take place during the first 15 days of January 2012.    more

Effective for dates of service on or after January 1, 2012, reimbursement and documentation requirements for CT scans performed on the same date have been updated for Multiple (Different) Anatomic Sites, Same Anatomic Site(s)/Repeat CT and Different Anatomic Site(s) Same Date.    more