The Centers for Medicare and Medicaid Services acknowledges that there are code combinations that may warrant an exception in reporting based on clinical documentation. Coders tend to err on the side ...

On January 1, 2015, the Centers for Medicare & Medicaid Service (CMS) introduced 4 Healthcare Common Procedure Coding System modifiers, known collectively as the - X(EPSU) modifiers, as a subset of ...

On December 13, 2017, the Centers for Medicare & Medicaid Services (“CMS”) published subregulatory guidance to answer questions about billing for drugs acquired through the 340B Drug Pricing Program ( ...

CMS has released new guidance on two different coding modifiers, according to an AGA eDigest report. CMS has expanded the range of service to which the PT modifier refers to include lower GI/endoscopy ...

AudioEducator, a division of ProEdTech, will host a two-session Virtual Boot Camp on “CMS Modifiers: Coding, Billing, and Compliance Regulations.” When providers use modifiers incorrectly, it leads to ...

CMS recently released results of Medicare’s value-based payment modifier for 2015.[1] This is the first year in which physicians are subject to adjustments under the payment system and, in this first ...

The update added HCPCS Level II codes to the list, effective for Medicare claims with dates of service on or after January 1. CMS recently added a half dozen codes to the list of services that may be ...

The Centers for Medicare and Medicaid Services has issued Transmittal 1867 (pdf), which is designed to help physicians, non-physician practitioners and hospitals, as well as Medicare Administrative ...

CMS revealed more than 20,000 clinicians will receive a positive payment adjustment on their Medicare physician fee schedule payments this year under the 2018 Value Modifier, which is based on quality ...

Please provide your email address to receive an email when new articles are posted on . In hospital employment settings, as well as large groups, work relative value unit-based compensation agreements ...