CMS released the "Medicare Part B" Physician Fee Schedule (PFS) FINAL RULE last week outlining what will kick in 1/1/21. [Click to access Rule] This 2,165 page final rule included tying together information from the March 31st, May 8th and … [Read more...]
Updated NCCI Edits Effective October 1 2020 – New Therapy Code Combinations
National Correct Coding Initiative (NCCI) It has been a flip-flop kind of year for the Center for Medicare & Medicaid Services (CMS) when it comes to deciding which CPT codes can and can't be billed together. These code combinations or "edits" … [Read more...]
CMS Delays Implementation Due Date For SNF Medicare Part B ABN
On August 4th, 2020, CMS released a statement stating that the 8/31/20 implementation due date for the updated CMS-R-131 Advanced Beneficiary Notice will be moved to 1/1/2021 due to the Public Health Emergency. Here is the CMS statement: To … [Read more...]
New Advanced Beneficiary Notice Form for SNF Medicare Part B
In the SNF setting, Rehab Managers, MDS Coordinators and Social Workers are among the staff designated to issue these "forms" to Medicare residents. All forms have a unique purpose and deadline for delivery. These "forms" include: Notice of … [Read more...]
Skilled Maintenance Therapy In The SNF & The New Assistant Modifiers
Think back to 6th grade English class for a minute—remember those fun figures of speech? The metaphor…simile…hyperbole… onomatopoeia …alliteration. Do you remember the oxymoron? You know the ones…jumbo shrimp...awful good...icy … [Read more...]
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