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Transcript of WCH September Bulletin 2013
WCH at AMBA Annual Conferencepage 6
WCH PANTHERS IN ACTION
page 3Educational Conferencepage 2
Referral
programpage 5
WCH invites you for an educational conference
How to Overcome the OccurringHealthcare Industry Challenges
WhenthOctober 29 , 2013
at 6:30-9:30PM
WhereBank of America Tower 1 Bryant Park (W 43st),
New York, NY
Direction:
42 St - Bryant Pk
(B, D, F, M) 5 Av (7, 7X)Times Sq - 42 St (S)
Click here to register TODAY!Register on our website www.wchsb.com
For information call us at718-934-6714 Ex. 1202 or 1214
Or e-mail [email protected]
Light dinner will be served.There is no cost to attend this event.
You may bring guests with you!
Featured Speakers:
Olga Khabinskay,COO, WCH Service Bureau Inc.Solving todays challenges between doctors and insurances.
Kenneth Music,Vice President, Bank of AmericaPractice SolutionsMedical Practice financing solutions.
Mathew J. Levy,Principal/Partner, Kern Augustine Conroy & Schoppmann, P.C.A legal view on physician practice audits from insurancecompanies.
John V. Pellitteri,CPA, Grassi & Co.Merger Mania- is it the right option for your practice?
Peter Bechtel,President of Well Track OneMedicare annual visit programcompliance and patients health improvement.
42 St - Bryant Pk
IN THIS ISSUE
Follow Us:
Get your CEU credits TODAYFor more information please contact Marianna Shapiro at 718-934-6714 ex. 1202
or by e-mail to: [email protected]
2
WCH Buzz
WCH panthers
in action
3
ICD-10
4
iSmart
EMR
5
Referral
Program
6
WCH at
AMBA annual
conference
7-13
Healthcare
News
14-15
News by
Specialty
16-17
Questions &
Answers
September 8th, 2013 5 mile Walk/Run
Central park
This September, WCH panthers contribute to the
outstanding success of the Race for the Cure!
WCH team members had a fantastic time on a
beautiful Sunday sunny morning in central park.
WCH appreciates all the contribution and commitment,
it's our support that really has an impact.
At the end of the day, the Race is all about providing
breast health services for at-risk and unreserved women
who would not otherwise get them. WCH panthers team
are already making a difference.
Together, we will realize our vision
of a world without breast cancer.
Thank you for being part of our team!
WCH Buzz
WCH efforts in preparing and implementing the ICD-10 As we reported earlier this summer, WCH was selected by CMS to be interviewed by their contracted
market research consultants Alan Newman Research on the ICD-10. Olga Khabinskay provided on in-depth look of how WCH is internally and externally preparing for the migration process to ICD-10. During these complex times of transition, WCH is making efforts to prepare early for the sake of our clients for a smooth, successful transition. We understand that a well-planned and well-managed implementation process is inevitable for the success of the process completion.
We present to you parts of our implementation plan for ICD-10 transition:
1
2
3
4
Market research and analysis: WCH billing department are in constant contact with our clearing houses. We work with specialist in order to get instant updates for ICD-10 transition. All commercial payers will follow CMS transition and they will be compliant for ICD-10 by October 2014. WCH will begin the testing period with all commercial payers who will be ready by the beginning of 2014.
Ongoing education for the coding and anatomy/pathophysiology to all WCH staff conducted on a regular basis by Yuliya Kiseleva MD. Moreover, this education will be repeated in 2014 as well. Upon education completion all WCH employees will have better understanding of anatomy, body systems and disease process. WCH employees are being trained to convert Diagnosis codes from ICD-9 to ICD-10 and will follow AMA and CMS guidelines for correct Diagnosis coding. Necessary trainings and ICD-10 updates are regularly implemented to all WCH employees in the billing department.
Perform necessary updates in our electronic claim form, data base of our billing software (PMBOS) and perform all necessary review and upload specific updates for ICD-10 EDI standards if any. Add applications and option for selective billing using ICD-10. After all program installation and updates will be made, WCH Service Bureau will be ready to submit ICD-10 claims.
Convert each individual WCH clients SB form ICD-9 to ICD-10. Due to the fact that number of ICD-10 diagnoses will be increased by 5 times in comparison with ICD-9, we strongly recommend to our clients to use our Electronic superbill. The ICD-10 definition of each diagnosis code will be more expanded and will cause problem for the providers who are still using paper superbills. Each of our providers will get updated superbill with converted diagnosis codes and will be contacted by assigned account representative for further discussion and transition process consulting.
3WCH Bulletin September 2013 www.wchsb.com
In the last issue, we have introduced the WCH . As we mentioned
before, WCH IT department, continues to work as much as 15 hours a day to the
complete the Electronic Medical Record that is easy to navigate, efficient to use and
is integrated with our billing service.
WCH is currently undergoing the process of certification to ensure that
the necessary technological capability, functionality and security standards are met.
WCH is scheduled to be completely certified by the end of Fall of 2013.
WCH is more than 50%
complete and is currently being further
developed. It is currently undergoing the
process of certification by Dr. First (e-
prescribing vendor). At this time we began
the certification process with Drummond
group Inc. This upcoming fall the WCH
is going to be fully certified.
To inquire about WCH ,
please contact Ilya Mirolyubov
E-mail:
Skype: wchsb.ilyam
phone: (718) 934-6714 ext. 1111
iSmart EMR
iSmart EMR
iSmart EMR
iSmart EMR
iSmart EMR
iSmart EMR
WCH
iSmart EMR
is on its way!
4 WCH Bulletin September 2013 www.wchsb.com
WCH Referral Program
for our clients
Refer WCH to Your Colleagues and
Friends for billing service!
Only happy clients refer others, and we want to make
sure we exceed the expectations of every client who
passes through our doors. We understand that, we only
grow if you are happy with our service. If you know
anyone who needs billing service, WCH is here to help.
We are grateful for referrals that come our way and
pleased to offera Referral Reward Program. WCH will
provide you with
WCH GOLD certificate that has added value.
For more information
contact Ilana Kozak
General Manager
skype: ilanak.wchsb
(718) 934-6714 ext. 1214
5WCH Bulletin September 2013 www.wchsb.com
Olga Khabinskay presenting at AMBA 2013 13th Annual
National Medical Billing Conference in October Las Vegas
WCH Service Bureau has been selected among many other
candidates to speak at the Annual conference to share our
knowledge and expertise. As a trusted member of the American
Medical Billing Association, Olga Khabinskay was appointed to
speak on behave of WCH, sharing our experience and tips about the
complex process of provider credentialing and enrollment. Since
2006 WCH has been a trusted member of the biggest Medical
Billing Associations in the country. Over the years WCH has
developed a relationship with the association director as a result of
continuous work together. As a result, the AMBA has developed
trust and confidence in the level of service and expertise allowing
WCH to share the knowable and experience with their members at the annual national
medical billing conference.
After carefully verifying her credentials and knowledge on the topic, Olga has been
asked to speak at the conference. Olga will present "Credential Successfully with
Confidence." Often, credentialing is viewed as an unwelcome distraction, but it shouldn't
be. Attendees will learn the general rules of credentialing and understand the strict
requirements and regulations as well as learning how to increase revenue by negotiating
fees with insurers and finally, how to successfully complete a credentialing process. We
all know how time-consuming credentialing is. Learn shortcuts that will help you submit
successful applications.
With only a month left to the event,
Olga is in the process of preparation with
support from WCH credentialing department
staff. Olga is expected to present on Friday
October 11, 2013 from 9am-10AM.
џ
џ
“The RACs have a low accuracy rate as it is:
CMS’ FY2010 Recovery Auditor Report to Congress
reported that 46 percent of the Medicare RAC
determinations appealed were decided in the
provider’s favor. RAC review of E&M codes will
undoubtedly lead to erroneous recoupments and
lengthy, expensive appeals for both physicians and
CMS.”
“Each E&M visit is different based on the
unique needs of the patient. Assignment of levels of
E&M services is based on six components… Due to
the variability and balance of these components
from one visit to the next based on the needs of
each patient, the use of the extrapolation method in
an audit for comparison of visits among different
patients has a high outcome probability of error and
should not be used.”
Despite the AMA’s and state and specialty
medical societies’ historic and unwavering
opposition to the RAC audits of E&M services, there
has been a recent increased pressure on CMS to
review physicians’ coding of E&M services.
Specifically, the Health and Human Services Office
of Inspector General issued a report in May on this
topic that specifically urged CMS to encourage its
contractors to conduct these reviews and “if CMS
determines that inappropriate claims have been
paid, it should take steps to recover those
overpayments.”
The take away for all providers – document,
document, document…. Ensure that in the event that
your E&M coding is questioned, your documentation
will support your/your staff’s coding determinations.
Healthcare News
Reminder: Medicare Has Approved
The Auditing Of E/M Services…
Be Sure Your Documentation
Justifies The Code!
Last September, the Centers for Medicare and
Medicaid Services (CMS) approved Virginia’s
Medicare Recovery Auditor (RAC) – Connolly – to
begin conducting audits of coding for evaluation and
management (E & M) services in physician offices,
specifically CPT code 99215. As such, the plan was
for Connolly to begin in October 2012 a complex
medical review of CPT code 99215, from which
Connolly will be permitted to extrapolate their findings
based on a statistical sample of such claims.
The AMA sent a letter to CMS Acting
Administrator Marilyn Tavenner strongly objecting
to these audits and urging CMS to rescind approval
of RAC review of E&M codes. Among the
complaints voiced by the AMA were the following:
That “physician choices regarding
appropriate code designation can be a
subjective matter based on the complexity of the
patient visit. Physicians who provide E&M care
apply complex decision-making based on myriad
clinical approaches… and because of the
complexity of this type of care, it does not lend
itself easily to medical review.”
Because “the RACs are not required to have
same-specialty physicians review RAC
determinations, we have no confidence that the
RACs will be up to the task of understanding these
variables or their clinical relevance.”
џ
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www.medicbilling.wordpress.comSource:
7WCH Bulletin September 2013 www.wchsb.com
Such statement must include the following
components:
the full printed name of the provider
sufficient information to identify the beneficiary
date of service
signature and date by the author of the medical
record entry (i.e., generally the provider)
In order to expedite the submission of such
requests, it behooves you to provide your billing
company with an executed blank signature
attestation statement that the billing company can
keep on file for future use.
џ
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CMS Signature Requirements –
A Reminder For Compliant Records
As we all know, there are certain signature
requirements imposed by CMS and other payers.
The purpose of a rendering/treating/ordering
practitioner’s signature in patients’ medical records,
operative reports, orders, test findings, etc., is to
demonstrate that services submitted to Medicare
have been accurately and fully documented, reviewed
and authenticated. Furthermore, it confirms the
provider has certified the medical necessity and
reasonableness for the service(s) submitted to the
Medicare program for payment consideration. Such
signature must be legible and should include the
practitioner’s first and last name. For clarification
purposes, it is recommended that providers include
their applicable credentials (e.g., P.A., D.O., or M.D.).
These signatures can be electronic or
written – both of which have a set of acceptable
formats. Examples of acceptable written
signatures are: legible fill signature, legible first
initial and last name, illegible signature over a typed
or printed name, illegible signature on letterhead
that otherwise identifies the signatory (if multiple
providers on letterhead, the signatory’s name must
be circled), etc… Conversely, an illegible signature
with no accompanying typed or printed name or
letterhead is unacceptable absent an attestation
statement.
Occasionally we have seen situations in
which a carrier seeks additional information in the
form of notes, which are deemed illegible. In this
case, it is advisable for your billing company to have
on file an attestation statement confirming the
nature of that illegible signature. This is key
because once your billing company has been asked
for this attestation statement, you are only allowed
20 calendar days in which to provide it.
www.medicbilling.wordpress.comSource:
8 WCH Bulletin September 2013 www.wchsb.com
in the study accept new patients and are
represented by broad geographic distribution—from
New Jersey to California.
The goal of the study has been to document
the costs, implementation of best practices, and
use of select EHR systems through nine
participating companies including ABEL, Aprima,
athenahealth, Amazing Charts, CureMD, McKesson,
MedNet Medical Solutions, Practice Fusion, and
Vitera.
While the study participants did not pay for
the systems for the 2-year period, they were asked
to document all of the other expenses associated
with the implementation and use of the system.
Over the course of the study, those out-of-
pocket expenses have been steadily climbing. In
fact, on average out-of-pocket expenditures related
to the EHR tallied up to $9,116 in July 2013. The
75th percentile noted expenditures of $15,000, while
the bottom 25th percentile was closer to $1,250.
A closer look at the results. Here are some
salient data points gleaned from the latest survey:
Yes: 77%
No: 23%
Median: $124 (up from a median of $100 nearly 5
months ago)
Median: $75 (the average was $79)
Median: 6.2%.
Q: Do you have the ability to determine
eligibility prior to a patient’s visit?
Q: What is your average charge per patient?
Q: What was the average reimbursement per
patient?
Q: On average what were the practice’s denied
claims as a percentage of total claims?
An Update From Doctors Surveyed
On EHR Best Practices Doctors
Surveyed EHR Best Practices
Physicians address costs, hours worked, and
advancement in meaningful use objectives in
Medical Economics EHR Best Practices Study.
The median number of hours worked has
finally stabilized, according to 23 physicians
reporting as part of the Medical Economics EHR
Best Practices Study.
In fact, after nearly 17 months since the
study began, the median number of hours worked is
nearing pre-implementation levels at 43.4 hours per
week on average.
Total non-clinical hours worked per week
has also been on the decline from an average of
11.4 hours per week during the pre-implementation
phase to 9.6 hours per week. In addition, the number
of direct patient contact hours per week was 34 and
has remained relatively flat throughout the study.
The 2-year Medical Economics Best
Practices Study began in January 2012 with the
first phase of data gathered in March 2012 by 29
solo, office-based physicians. All of the physicians www.medicbilling.wordpress.comSource:
9WCH Bulletin September 2013 www.wchsb.com
Patient Payments
At The Time Of Services No need to send a bill after the visit. Use our tool to get a real-time estimate of
what your patient will owe, and collect patient payments at the time of service.
Quick facts about our Payment Estimator
• Access the tool on our secure provider website:
• Estimates will tell you:
- Patient responsibility: copayments, coinsurance and remaining deductibles
- Our payment amount with contractual adjustments
• Estimates are based on your office's fee schedule and your patient's benefits
• The tool works for both outpatient and inpatient services
• Print a patient-friendly copy that you can use to ask for payment before
providing services
• Available to you any time: run estimates throughout the year as your patients'
benefits change Where to get more information
• Learn more about our Payment Estimator at
• Get other helpful tips on using the tool from
• For questions, use the Contact Us link on
https://connect.NaviNet.net
www.NaviNet.net/aetnaestimator
www.AetnaPaymentEstimator.com
www.Aetna.com
10 WCH Bulletin 2013 September www.wchsb.com
EMPlRE BULLETlN
AUDIENCE:
SUBJECT:
EFFECTIVE DATE:
PLAN NEWS:
•
•
•
•
• •
•
www.empireblue.com
Empire Participating Network Physicians
Modification of Physician Fee Schedule and Unilateral Amendment to Add Pathway and Pathway
Enhanced Networks
November 1st, 2013 for Modification of Physician Fee Schedule January 1st, 2014 for
Pathway and Pathway Enhanced Networks
Effective November 1st, 2013, Empire will update its HMO, PPO, Healthy NY, and Indemnity
physician fee schedules. Although this update will result in a net increase of our physician network fees, the
actual impact to any particular physician will depend on the codes most frequently billed by that physician.
Please note that this update does not include our Child Health Plus, Behavioral Health and Medicare Advantage
fee schedules. Included among the fee schedule increases are the following:
Select Generic Chemotherapy In-office Drugs-J9070, J9206, J9265 & J9045
Select Ambulatory Skin procedures-11042, 11046, 12036 & 15050, & 96910
Select Major Breast procedures-19301, 19303, 19340, 19342, & 19357
An updated fee schedule listing the top 500 utilized codes will be available upon request. Please contact
your Network Management Consultant by calling (800)-552-6630 and following the below prompts:
Option 1: Medical Providers
Option 4: Provider Updates and Other Information
Option 1: Participation and Credentialing Information
Enter your zip code
The complete updaled fee schedule will be available on our Physician Online-Services at
upon their effective date of November 1st, 2013.
You can find more details on CPT codes and all of the current rates pursuant to your participating provider
agreement with Empire by logging onto www.empireblue.com and utilizing Empire's interactive fee schedule tool.
As an alternative, please direct such written requests via facsimile to (888)-438-5205 and include the list of
specific codes to assist Empire with providing you with a copy of the corresponding fee schedule information.
In addition, please be advised that you have been selected to participate in Empire's "Pathway", "Pathway X",
"Pathway X Enhanced" and "Pathway Enhanced" networks which shall support new individual and small group
health benefit plans issued by Empire and/or an Affiliate on or after January 1, 2014. The attached unilateral
amendment that shall take effect January 1, 2014 hereby adds the new networks set forth above and outlines the
corresponding rates of reimbursement.
Source: www.empireblue.com
11WCH Bulletin September 2013 www.wchsb.com
Physician/Practice Notice of Privacy Practices (NPP) Must Be Updated by September, 23, 2013
All medical practices must update their NPP, and soon! There are 5 significant changes that need attention.
You must update information on your use and disclosure of PHI that requires authorization:
a. Most uses and disclosure of psychotherapy notes
b. Uses and disclosures for marketing purposes
c. Disclosures that constitute a sale of PHI
Separate statements for certain uses and disclosures:
a. Intention to send patients treatment communications while receiving remuneration
b. Intention to contact individuals to raise capital or funds
c. Individual's right to opt out of such communications
Enhanced patient rights:
a. Inclusion that you, as a Covered Entity (CE), must agree to a patient's restriction of release or disclosure of PHI
to a health plan where the patient pays out of their own pocket for a service
b. Include statements about a patient's right to receive electronic medical records (if you are capable of providing
such), along with other updated patient rights
Include information about how and when you will inform patients in the event of a breach of unsecured PHI
Appointment reminders and other alternatives:
a. You no longer need to include a statement
about notifying patients to remind them of an
appointment, treatment alternatives or other
services that may be of interest to the patient
We will be including additional information on
new HITECH requirements over the next few
weeks.
Notice of Privacy Practices (NPP)
12 WCH Bulletin 2013 September www.wchsb.com
The Internal Revenue Service has finalized penalties for individuals who do not obtain health insurance
under healthcare reform.
Under the , the shared responsibility payment for not maintaining essential coverage under the
Patient Protection and Affordable Care Act is based on the greater of either a flat dollar amount or a percentage
of household income over the taxpayer's applicable filing threshold.
The penalty for not obtaining coverage is $95 per person or 1 percent of household income in 2014 and jumps to
$325 or 2 percent of income in 2015. In 2016, the IRS will fine nonexempt individuals without coverage either
$695 or 2.5 percent of household income. After 2016, the penalty will be determined by a cost-of-living formula.
The Congressional Budget Office estimates less than 2 percent of Americans will forgo coverage and
owe a shared responsibility payment, according to an IRS released Wednesday. Individuals have
minimum essential coverage for a calendar month if they're enrolled in or covered by a health plan for at least one
day during that month, according to the final rules. The IRS noted the one-day rule will ease administrative
burdens for both taxpayers and the agency.
The IRS final rules do make some exceptions to the individual mandate. Those who will not have to make
a shared responsibility payment include:
џ Individuals who cannot afford coverage;
џ Taxpayers with income below the filing threshold;
џ Members of Indian tribes;
џ Individuals who suffer hardship;
џ Individuals who experience short coverage gaps;
џ Members of religious sects or divisions;
џ Members of a healthcare sharing ministry;
џ Incarcerated individuals; and
џ Individuals who are not lawfully present.
"These rules will ease implementation and help
ensure that the payment applies only to the limited group
of taxpayers who choose to spend a substantial period of
time without coverage despite having ready access to
affordable coverage," the agency said in the fact sheet.
For more:
- here are the (.pdf)
- check out the IRS
final rules
fact sheet
final rules
fact sheet
Patient Protection and Affordable Care Act
13WCH Bulletin September 2013 www.wchsb.com
News by Specialty
Is there a code for stenting of the common
carotid-mid portion?
Stenting of the mid-portion of the
common carotid (cervical portion) would be
37215 or 37216, depending on whether or not an
embolic protection device was used.
What is the correct charge for an incision
and drainage (I & D) of a pacer pocket that was
only packed with iodoform gauze? One of our
patients, with an existing pocket with permanent
pacemaker device in place, fell and hit his chest
at the generator site. The doctor thought it was
serous fluid from trauma and performed an I & D
with the pacemaker still in place.
The best code for the procedure you
describe is 10140 (Incision and drainage of
hematoma, seroma or fluid collection). If guidance
was used, code the modality-specific code (76942,
77002, or 77012).
Cardiology
What code should be used when a
screening sinus CT study is performed?
In this case, three options exist for charging.
Be sure to ask your local third-party payer which
option it requires.
џ Use the anatomic site-specific CPT code
70486 and assign modifier 52 (reduced services) to it.
џ Submit this code with no modifier (other
than modifier 26 for professional billing).
џ Submit the generic, non-site-specific code
of 76380.
Will CMS change the way it calculates
hospital relative weights for radiology next year?
It is unknown at this time and will not be
known until November when the Centers for
Medicare & Medicaid Services (CMS) issues the
final rule for the outpatient prospective payment
system (OPPS). However, CMS has proposed
using distinct cost-to-charge ratios (CCRs) to
Radiology
Source: www.panaceahealthsolutions.com
Source: www.panaceahealthsolutions.com
Source: www.panaceahealthsolutions.com
14 WCH Bulletin 2013 September www.wchsb.com
I am not sure what to charge for the
following case. A patient came in on one day for a
stress test. We did the resting injection/imaging,
and then cardiology had to cancel the stress test
portion. The patient returned two days later and
had the stress test with imaging. What would we
charge for this? I know we would charge two
injections on the dates of services, but what
about the imaging portion?
You would still code 78452 (if SPECT was
done) or 78454 (if SPECT was not performed). Both
rest and stress were performed. They do not have to
be on the same day or even on two successive
days. If the intent was to do both, and they were
done within a week to 10 days, then you assign the
combination code.
o calculate the hospital OPPS relative payment
weights. According to CMS, this would apply to
cardiac catheterization, computed tomography (CT)
scans, and magnetic resonance imaging (MRI).
This is not good news for radiology groups,
according to the American College of Radiology (ACR).
It says, “This proposal would cut hospital outpatient
payments for CT and MR studies by 18 to 38 percent.”
Source: www.panaceahealthsolutions.com
Source: www.panaceahealthsolutions.com
15WCH Bulletin September 2013 www.wchsb.com
Questions & AnswersQuestion:
Answer:Physicians sometimes must discard an
unused portion of a drug. If the physician (rather
than the patient and/or facility) supplies the drug,
Medicare may allow compensation for this
“wasted” portion.
As instructed by the National Medicare
guidelines for reporting drug waste found in the
Claims Processing Manual, chapter 17, § 40.0, drug
waste is reported in addition to the drug
administered. Using the appropriate HCPCS Level II
supply code, list the drug administered with the
correct number of units in box 24D of the CMS-
1500 claim form. You should enter the number of
wasted units as a second line item. Provider
documentation must verify the exact dosage of the
drug injected, and the exact amount and reason for
any waste.
Medicare contractors generally require that
you append modifier JW Drug or biological amount
discarded/not administered to any patient to
identify an unused drug from single-use vials or
single-use packages that are appropriately
discarded.
For example, from a single-use vial that is
labeled to contain 100 units, 95 units are
administered to the patient and five units are
discarded. The-95 unit dose is billed on one line,
and the five discarded units are billed on another
line with modifier JW. Both line items would be
processed for payment.
Does Medicare compensate for unused
portion of drug that must be discard?
Viktoriya Uzakova
Billing Department Supervisor
Skype: wchsb.vikau
e-mail: [email protected]
You should not apply modifier JW when the actual
dose of the drug or biological administered is less
than the billing unit. “For example,” the Claims
Processing Manual advises, “one billing unit for a
drug is equal to 10 mg of the drug in a single use
vial. A 7 mg dose is administered to a patient while
3 mg of the remaining drug is discarded. The 7 mg
dose is billed using one billing unit that represents
10 mg on a single line item. The single line item of 1
unit would be processed for payment of the total 10
mg of drug administered and discarded. Billing
another unit on a separate line item with the JW
modifier for the discarded 3 mg of drug is not
permitted because it would result in overpayment.
When the billing unit is equal to or greater than the
total actual dose that was administered and the
amount discarded, the use of the JW modifier is not
permitted.”
Note that Medicare will reimburse only for
drugs supplied in “single-use vials,” and CMS
officially encourages “physicians, hospitals and
other providers to schedule patients in such a way
that they can use drugs or biologicals most
efficiently, in a clinically appropriate manner.”
Caution: Unique billing rules apply when
reporting discarded erythropoietin stimulating
agents for home dialysis. See the Medicare Claims
Processing Manual, chapter 17, § 40.1 for more
details
Source: www.aapc.com
16 WCH Bulletin 2013 September www.wchsb.com
Question:
Answer:The Centers for Medicare & Medicaid
Services (CMS) have many helpful tools at
http://www.cms.gov/Medicare/Coding/ICD10/Pro
viderResources.html, including an information
sheet that should answer your question: Planning
Your ICD-10 Transition Activities for 2013.
According to CMS, by April 1, 2013, healthcare
providers should have been testing ICD-10 with
colleagues/staff within your practice or facility. By
October 1, 2013, ICD-10 testing should begin with
business trading partners like payers,
clearinghouses, and billing services.processed for
payment.
Where can we find a timeline related to
ICD-10 implementation?
Elizaveta Bannova
Billing Department Vice Manager,
CMRS, CFPC
Skype: wchsb.lizab
e-mail: [email protected]
Source: www.panaceahealthsolutions.com
17WCH Bulletin September 2013 www.wchsb.com
FEEDBACKYour feedback is very important to us! In our continued dedication to
improve, we want your feedback, opinions, ideas, news and comments. Please
send us your feedback today. Let us know what you want to see in upcoming
issues or changes to the format that you would like to see.
You can simply E-mail your comments to us at
or send it by mail to our office [email protected]
3047 Avenue U Brooklyn, NY 11229
Message:
E-mail:
Name: