News Tags: CMS
The 2019 ICD-10-CM codes are now available for you to review. The codes go into effect on October 1, 2018 for patient discharges and encounters. Also, new diagnosis codes were added to the current ICD-10 list for Lynch Syndrome genetic testing. These codes were effective June 1, 2018. For more information, visit https://www.cms.gov/Medicare/... more
There are some important updates from United Healthcare, check them out below: PA Updates for Genetic and Molecular Testing: Effective 10/1/18 UHC will require PA for the following procedures performed in an outpatient setting for commercial plan members: 0012M 0013M 0036U 0037U 0040U 0045U – 0050U 0055U – 0057U... more
The US House of Representatives appropriations committee yesterday released a draft bill that would give a 3 percent boost in funding to the National Institutes of Health, increasing the agency's budget from roughly $37.1 billion to $38.3 billion in fiscal 2019. Included in the appropriation committee's NIH funding proposal is a $401 million... more
New Jersey passes law fighting surprise medical billing: 8 things to know & New Jersey’s Surprise Medical Bill Law: Implications and National Trends
The legislation, Assembly Bill No. 2039, addresses New Jersey's healthcare delivery system in terms of out-of-network billing and arbitration, as well as disclosure and transparency, according to the governor. The Law applies to New Jersey health care facilities, individual health care professionals, carriers, and, in some instances, self... more
Medicaid Fee for Service – Mammogram codes Attention: Hospitals, Physicians, Laboratory and Radiology Providers Effective January, 1, 2018, New Mexico Medicaid Fee for Service replaced HCPCS codes G0202, G0204, and G0206 with CPT codes: · 77067: SCR MAMMO BI INCL CAD · ... more
Effective January 1, 2019, the Indiana Health Coverage Programs (IHCP) will revise the timely filing limit on claims for services rendered through the fee-for-service (FFS) delivery system to 180 calendar days from the date of service (DOS). The 180-day timely filing limit will apply to claims with DOS on or after January 1, 2019.
A previously published Medi-Cal Update added, changed and deleted CPT-4 codes for the 2018 annual update, effective February 1, 2018. Corrections to this policy are as follows: CPT-4 codes 71045 – 71048, 74018, 74019 and 74021 do not require an approved Treatment Authorization Request (TAR) to be split-billed.
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