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Monthly Archives: February 2012
ICD-10: It’s been an eventful week
What are your thoughts about the news coming from HHS? Do you have any predictions of the outcome? http://www.hhs.gov/news/press/2012pres/02/20120216a.html Let us know! We want to hear your thoughts!
Posted in Uncategorized
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Article: Medicaid to Stop Reimbursement for Unnecessary ER Visits
Starting on April 1, Medicaid will no longer reimburse for unnecessary emergency room visits in Washington state. Read Seattle Times Article: Here Carol Ostrom. “State Medicaid to quit paying for ER visits deemed unnecessary” Seattle Times February 7, 2012.
CMS Recovery Audit Prepayment Review Demonstration Project
The CMS announced that the Recovery Audit Prepayment Review Demonstration, which was delayed from its initial start date of January 1, 2012, is expected to move forward on or after June 1, 2012. The Recovery Audit Prepayment Review will allow … Continue reading
Posted in Medicare, News, Q & A, Q & A with RMC, RMC
Tagged auditor, claim, claims, CMS, coding, compliance, demonstration, documentation, error, improper, medicaid, medicare, physician, prepayment, RAC, recovery, reimbursement, review
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Modifier 22 – Noridian Administrative Services Processing Change
On January 31, 2012, Noridian Administrative Services (NAS) posted a Medicare Part B News update to Issue 274 dated November 16, 2011. OF NOTE: NAS no longer requests additional documentation on procedure codes when billed with modifier 22. Following the initial … Continue reading
Posted in How-To, Medicare, News, Q & A, Q & A with RMC, RMC
Tagged claim, CPT, documentation, E/M, global, modifier, noridian, operative report, Part B, payment, redetermination, surgical procedure
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