Part B Headlines

FCSO is returning 60 percent of all paper claims received as a result of continuing NPI errors. Here are some tips to avoid them.

This document is maintained on our Web site. The LCDs referenced are maintained on the CMS Web site.

The exceptions to outpatient therapy caps expired on June 30, 2008. Outpatient therapy service providers should not submit claims with the KX modifier for services furnished on or after July 1, 2008. [JSM 08387, PERL 200807-03]

Questions and answers pertaining to the Medicare durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) Competitive Bidding Program.

Questions and answers pertaining to therapy treatment notes, billing the place of service, locum tenens, advance beneficiary notice, and more.

Questions and answers pertaining to claim status and obtaining beneficiary eligibility.

CMS is clarifying the term "common carrier" in its mail order definition published in chapter 36 of the Medicare Claims Processing Manual. [PERL 200806-25]

Under the DMEPOS Competitive Bidding Program, beneficiaries who permanently reside in or travel to a designated CBA are required to obtain competitive bid items from a contract supplier, unless an exception applies. [PERL 200806-23]

This article provides clarification on the correct billing of VIDAZA (J9025) and chemotherapy administration code 96401 (Chemotherapy administration, subcutaneous or intramuscular; non-hormonal).

Claims for Computed Tomographic Angiography (CTA) used to diagnose coronary artery disease (CAD) will continue to be determined by local Medicare contractor discretion and the Medicare NCD Manual remains unchanged. [MM6098]

The CR was revised to clarify that hospital emergency services are not paid for the same date as critical care services when provided by the same physician to the same patient. The CR information and Web address were also changed. [MM5792]

Part B Local Coverage Determination (LCD) statuses and indicators.

CPT 82330 will be included in the automated multi-channel chemistry code (AMCC) Panel Payment Algorithm (80047) and paid as an automated test. As a result, the allowed amount of 80047 will be reduced. [CR 5874]

This article describes changes to, and billing instructions for, payment policies implemented in the July 2008 Ambulatory Surgical Center (ASC) update. [MM6095]

CMS has revised chapter 18 of the Medicare Claims Processing Manual to clarify the elements needed during a screening pelvic examination. [MM6085]

This article includes the latest new tests approved by the Food and Drug Administration as waived tests under the Clinical Laboratory Improvement Amendments of 1988 (CLIA). [MM6060]

This article provides clarification on how to bill for Quantitative Sensory Testing (QST) when using the Xilas vibration perception threshold (VPT) meter.

The only change for October 1, 2008, is the addition of HCPCS code L5670 to the File 1 coding list. [MM6111]