Wed, 12/21/2016
There is a saying that “a change is as good as a rest,” which may indeed be true. However, the 2017 final regulations, code updates, and other reimbursement changes once again bring challenges to oncology coding and billing. To help you update your respective charge masters, fee schedules, and other reimbursement documents to ensure compliance with coding and billing guidelines, we’ve compiled all  of the oncology-specific information you need to know going into 2017. New & Revised... [+]
Fri, 09/09/2016
By Karna W. Morrow   Think about the last time you attached modifier 25 to an Evaluation and Management (E/M) code. What were the circumstances? It was a new patient. The procedure or service was not planned. The provider documented each of the key components in addition to documenting the procedure. The payor denied the original E/M claim. Circumstancesmay warrant both a visit and a procedure or service on the same date of service, but when both services can be charged can be difficult to... [+]
Mon, 05/02/2016
CMS has issued a Proposed Rule for its new Quality Payment Program, which was established by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 to replace the Sustainable Growth Rate reimbursement formula.  The new program rewards value and quality of care through two pathways: Merit-based Incentive Payment System (MIPS) Advanced Alternative Payment Models (APMs) Most clinicians will participate initially in MIPS, which replaces the Physician Quality Reporting System, the Value... [+]
Tue, 04/19/2016
RCCB® and Coding Strategies, Inc. ADD CT-SPECIFIC PROFICIENCY TESTING Industry leading organizations announce second modality-specific proficiency test for radiology coders Powder Springs, GA – April 19, 2016 The Radiology Coding Certification Board (RCCB) and Coding Strategies®, two industry leading organizations, announced the immediate release of their second modality-specific proficiency assessment, focusing on computed tomography (CT). CT represents the newest addition to the series of 10... [+]
Wed, 03/30/2016
Coding Strategies, Inc. and RCCB® ANNOUNCES MRI PROFICIENCY TESTING Industry leading organizations collaborate to offer modality-specific proficiency testing for radiology coders Powder Springs, GA – March 30, 2016 The Radiology Coding Certification Board (RCCB) and Coding Strategies®, two industry leading organizations, have partnered to create 10 modality-specific coding proficiencies for radiology, which allow users to test their mastery of Current Procedural Terminology (CPT®) and... [+]
Tue, 03/01/2016
CMS has updated the ICD-10-CM diagnosis codes associated with several National Coverage Determinations.  The code changes are found in Transmittal 1630, released February 26, 2016.  They will be implemented in Medicare claims processing systems on July 5, 2016, and they are effective for dates of service on or after July 1, 2016, unless otherwise noted.  In addition to the diagnosis code changes, there are also several procedure code changes.   To view a complete listing of the covered... [+]
Fri, 02/05/2016
The ACR announced today that CMS is revising its policy on the shared decision making (SDM) visit for low dose CT (LDCT) lung cancer screening.  Previously the agency had stated that the SDM visit had to be performed by a primary care provider, but under the new policy, any treating physician or practitioner may provide this service.    The ACR quotes CMS as saying, “Based on the NCD and applicable regulations, the physician or non-physician practitioner who furnishes the shared-decision making... [+]