The Functional Reporting requirements for pain and functional scales (G8539, G8730 by example) to Medicare are no longer required. In fact use of the codes will result in the claim being denied effective for dates of service on and after January 1, 2019. Beginning in 2021 any use will cause Read more…
Medicare is scheduled to make a significant reduction in Medicare rates in 2021. All Medicare provider groups are forming a coalition to block these scheduled cuts and there are things that you may do. Several members of the House introduced H.R. 8702, the Holding Providers Harmless from Medicare Cuts During Read more…
New Guidance on Federal Relief Fund Specifically Mentions Chiropractors In guidance released late last week, the U.S. Department of Health and Human Services announced the latest Provider Relief Fund (PRF) application period has been expanded to include provider applicants such as residential treatment facilities, chiropractors, and eye and vision providers Read more…
2021 ICD10-CM Updates 2021 update 10-1-2020 72,616 Codes 490 Additions 58 Deletions 47 Revisions As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2020. Though these are 2021 codes the effective date is October 1 of the prior Read more…
September 15, 2020 - Shortly after releasing the 2021 Current Procedural Terminology (CPT) code set, the American Medical Association (AMA) added two more codes related to COVID-19, including one that accounts for the extra safety protocols providers are taking to care for patients during the global pandemic. CPT code 99072 is a new practice expense Read more…
The revised Medicare ABN mandatory use has now been delayed to January 1, 2021. It was originally slated for March 2020 but was initially delayed to August 31, 2020, but due to continuing COVID-19 concerns, CMS has expanded the deadline for use of the renewed ABN. You may begin using Read more…
Many providers have received a letter from Anthem indicating that the ratio and use of CMT codes 98941, 98942, and 98943 are above the average for the industry. If you received such it is an indication that your ratio is too high. Typically about 50-55% of patient visits are 98941 Read more…
The delayed update to the Advance Beneficiary Notice (ABN) has finally arrived. The revised form will be mandatory on August 31, 2020, with the older version acceptable until that date. The updated form and instructions can be found in the document library of Digital Coding under the Medicare tab. Network Read more…
Digital Coding subscribers there are now multiple COVID related forms available in the document library. This includes a comprehensive informed consent for patients to sign as well as detailed office safety procedures and protocols. Stay informed and assure you are following the best practice protocols for your office. Network members Read more…
CMS will be making payments to Part B Medicare providers that do not require repayment. These payments appear to automatically appear in your account where Medicare makes your payments. These funds, unlike accelerated payments, will not need to be refunded. We have had a handful of offices that received these Read more…