Awareness : Did You Know? 2017

Did You Know? Weekly Educational Series #20

The following questions originated in the Ask-the-contractor (ACT): Chronic Care Management Services (B) event. The questions are followed by the appropriate answer and the sources of the information are provided.

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For The Week of July 17, 2017

Did You Know? Weekly Educational Series #19

Modifier GZ must be used when physicians, practitioners, or suppliers want to indicate that they expect that Medicare will deny an item or service as not reasonable and necessary and they have not had an advance beneficiary notification (ABN) signed by the beneficiary.

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For The Week of July 11, 2017

Did You Know? Weekly Educational Series #18

Evaluation and Management – History of Present Illness (HPI) and negative responses

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For The Week of June 19, 2017

Did You Know? Weekly Educational Series #17

There are three options to Anesthesiologist, in 2017, to code and bill endoscopic gastrointestinal anesthesia procedures.

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For The Week of June 12, 2017

Did You Know? Weekly Educational Series #16

For Medicare Part B physician services and paid under the physician fee schedule critical care is not a service that is paid on a “shift” basis or a “per day” basis.

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For The Week of June 5, 2017

Did You Know? Weekly Educational Series #15

New CDC recommendations are to test first with the interferon-γ release assay (IGRA) when the physician determines it’s appropriate to test for latent TB infection.

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For The Week of May 22, 2017

Did You Know? Weekly Educational Series #14

When performing Y-90 mapping in Interventional Radiology…

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For The Week of May 15, 2017

Did You Know? Weekly Educational Series #13

Laboratory codes 83721 and 80061.

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For The Week of May 8, 2017

Did You Know? Weekly Educational Series #12

As a reminder, the following ICD-10 codes are typically linked to GERD procedures.

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For The Week of May 1, 2017

Did You Know? Weekly Educational Series #11

Recently, two Local Coverage Determinations (LCDs) affecting Ophthalmology have been revised to include ICD-10-CM diagnosis code range T85.22XA-T85.22XS.
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For The Week of April 3, 2017

Did You Know? Weekly Educational Series #10

Recommendations apply to all order entry mechanisms whether they are hard-copy requisitions or electronic/web-based systems.
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For the Week of March 27, 2017

Did You Know? Weekly Educational Series #8

How to avoid 2017 cataract claim hot spots by amping up your documentation.
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For The Week of February 27, 2017

Did You Know? Weekly Educational Series #9

In regard to E/M guidelines to transfer of a patient, what is meant by the term “merged records?”
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For The Week of March 13, 2017

Did You Know? Weekly Educational Series #7

Our physician documented a malignant cancer of the lateral and posterior wall of the urinary bladder. Can we submit codes C67.2 and C67.4?
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For The Week of February 20, 2017

Did You Know? Weekly Educational Series #6

New for Cardiology in the 2017 CCI Edits.
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For The Week of February 13, 2017

Did You Know? Weekly Educational Series #5

A new CPT Category I code (76706) was established to bill abdominal aortic aneurysm (AAA) screening.
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For The Week of February 6, 2017

Did You Know? Weekly Educational Series #4

In 2017, Moderate Sedation Codes 99143-99150 have been deleted. They have been replaced with the following new codes 99151-99157.
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For The Week of January 30, 2017

Did You Know? Weekly Educational Series #3

If a treating physician orders an automated hemogram (CPT code 85027) and a manual differential WBC count (CPT code 85007), can both codes be reported for Medicare patients?
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For The Week of January 23, 2017

Did You Know? Weekly Educational Series #2

After it self-disclosed conduct to OIG, , Mayo Clinic Health System – Franciscan Medical Center, Inc. (Mayo Clinic), Wisconsin, agreed to pay $219,357.82 for allegedly violating the Civil Monetary Penalties Law.
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For The Week of January 16, 2017

Did You Know? Weekly Educational Series #1

If non-selective renal angiography is performed at the time of a diagnostic cardiac catheterization, should level ll HCPCS code G0275 be reported?
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For The Week of January 9, 2017