contractor articles (212)
Active Articles:
None to display.Retired Articles:
A323: Add-On-Codes for AnesthesiaA328: Billing for Compounded Drugs
A339: Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease
A592: Coverage and Billing for Neuromuscular Electrical Stimulation (NMES)
A628: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
A645: Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) (Part A and B)
A664: Correct Coding for Influenza Vaccine (Part A and B)
A693: Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
A705: Coding Instructions for IN-111 Zevalin and and Y-90 Zevalin
A723: Coverage and Billing for the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
A735: Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A741: Coding Changes for Sodium Hyaluronate
A835: Additional Clarification for Medical Nutrition Therapy (MNT) Services
A880: Coverage Excluded for Non-Contact Normothermic Wound Therapy (NNWT)
A970: Companion Code List for Prolonged Services Expanded
A977: Coding for Non-Covered Services and Services Not Reasonable and Necessary (Part B)
A1002: Attestation Acceptable from Independent Laboratories Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Inpatients (Part B)
A1076: Cryosurgery of the Prostate Gland (Part B)
A1114: Billing Audiologic Function Tests for Skilled Nursing Facility (SNF) Patients (Part A and B)
A1124: Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence (Part A and B)
A1130: Coverage Available for Clinical Trials on Carotid Stenting with Category B Investigational Device Exemptions (IDEs) (Part A and B)
A4314: Chiropractor Update
A4342: Anesthesia for Non-Covered Services
A4363: And The Answer Is….
A6528: Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services
A6538: AdvanceMed Named Program Safeguard Contractor (PSC) for Arkansas, Louisiana and Oklahoma
A7125: And The Answer Is…. (02/01/2002)
A7865: Diagnosis Requirements for Chiropractic Claims Modified
A8375: Documentation Requirements for Partial Hospitalization Program (PHP) Services
A9194: Coding Correction for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
A9375: Correct Submission of Ambulance Claims
A9430: Billing “Shared” Evaluation and Management Services
A9435: Billing and Calculating Payment for Split Care
A9683: Colorectal Cancer Screening Benefits and Coverage
A9693: Coding Local Therapeutic Injections
A9899: Verteporfin Coverage
A9968: Billing Guidelines for Elective Surgery
A10133: And The Answer Is…. (08/01/2001)
A10138: Billing Reminders
A10204: Development Procedures
A10272: Billing for Screening Glaucoma Services
A10279: Therapy Services Billing Reminder
A10328: E/M Billing Reminder
A10382: Adult Liver Transplantation Coverage Expanded to Include Hepatitis B
A11516: Definition of Rural Changed for Paramedic Intercept Services
A11547: Electrical Osteogenic Stimulator Coverage Expanded
A11554: External Counterpulsation for Severe Angina Update
A11629: Chiropractic Billing Clarification: X-rays
A11730: Ambulance Modifier -QL -Patient Pronounced Dead After Ambulance Called
A11761: Billing for Chiropractic Claims Showing Subluxation
A11770: Chiropractic Reminders
A11901: Billing Transmyocardial Revascularization (TMR)
A11945: Billing E/M Codes 99214 and 99233 Correctly
A11957: Chiropractic Reminder: Maintenance Therapy Not Covered
A11966: Concurrent Care
A12084: Verteporfin Payable by Medicare
A12176: Claims Filing Hint: Not Medically Necessary Versus Routine Screening Services
A15498: Diabetes Outpatient Self-Management Training (DSMT)
A15541: And The Answer Is….(07/01/2003)
A15551: Anesthesia Billing Errors
A15566: Comparative Billing Report Reminder
A15606: Expanded Coverage For PET Scans
A15714: Chiropractic Therapy
A15754: AMBULANCE - LOCAL MODIFIER ‘AR’ DELETED
A15816: Billing Instructions For Claims For Ventricular Assist Devices For Beneficiaries In A Medicare+Choice Plan (Part A and B)
A15850: Critical Care Focus (Part B)
A16903: Care Plan Oversight Reminders
A16915: Change in Coding on Medicare Claims for Darbepoetin Alfa and Epoetin Alfa For Treatment of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis
A16948: Provider Alert: Stopping Abuse Of The Power Wheelchair Benefit
A17967: Correction – Ambulance Night Differential Charges
A18128: Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis
A18134: Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
A18140: Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers
A18171: Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan
A18627: Cardiac Output Monitoring By Thoracic Electrical Bioimpedance (TEB)
A18647: Criteria for Using the CB Modifier
A19451: Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM) (Part A and B)
A19782: Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals
A20215: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds (Part A and B)
A20228: Arrangements for Physical, Occupational, and Speech-Language Pathology Services (Part B)
A20676: Diabetes Self-Management Training Services (Part A and B)
A20786: Critical Care Facts
A20934: Coding of Subsequent Hospital Care
A21066: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee (Part A and B)
A21759: Critical Care Facts (Part B)
A22931: Billing the -22 Modifier (Unusual Circumstances)
A22939: Autologous Blood-Derived Products for Chronic, Non-Healing Wounds
A22979: Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
A22985: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
A23089: Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD (Part A and B)
A23914: Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in the Medicare Advantage’s Capitated Rates
A23929: Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
A23961: Treatment of Obesity
A24054: Service Specific Audit
A24125: Clarification: Modifiers for Transportation of Portable X-rays (R0075)
A24233: Education Focused on Medical Necessity Denials
A25059: Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
A25078: Cardiovascular Screening Blood Tests
A25082: Emergency Change to Carrier Instructions for the End Stage Renal Disease (ESRD) 50/50 Rule Implementation
A25106: Diabetes Screening Tests
A25113: Electrocardiographic Services
A25360: Update to Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases and Update for Special Payment Procedures for all PET Scan Services Performed in Critical Access Hospitals
A33899: Expansion of Coverage for Chiropractic Services Demonstration
A33905: Expansion of Coverage for Chiropractic Services Demonstration – Information for Outpatient Hospitals and Radiologists
A34474: Billing for Hemophilia Blood Clotting Factors (Medicare Claims Processing Manual (Pub. 100-04), Chapter 17, Section 80.4)
A34490: Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients
A34507: Expanded Coverage for PET Scans for Cervical and Other Cancers, New Coding for PET Scans, and Billing Requirements for PET Scans for Specific Indications of Cervical and Other Cancers
A34518: Widespread Probes for Surgical Debridement Codes
A34718: Abarelix for the Treatment of Prostate Cancer
A34733: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A34791: Service Specific Audit - Procedure Code J0128
A35862: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A36677: Billing for Apheresis Procedures
A37251: Coverage and Billing for Ultrasonic Stimulators for Nonunion Fracture Healing
A37315: Update to the Place of Service (POS) Code Set to Add a Code for Pharmacy
A37375: Comprehensive Error Rate Testing (CERT) Decisions
A37918: Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims During an Inpatient Stay
A37980: Abarelix for the Treatment of Prostate Cancer
A38937: Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
A38943: Probe Review Results of Ground Ambulance Services in Arkansas
A39194: Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs)
A39205: Updates to Home and Domiciliary Care Visits Related to CPT Codes 99321 – 99350
A39211: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813); Implementation of Carrier Guidelines
A39285: Chiropractic Services
A41450: Ambulatory Surgical Center (ASC) Coverage
A41570: Probe Review Results of Wound Care Services in Arkansas
A42259: Auditory Osseointegrated and Auditory Brainstem Devices
A42307: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A42372: Therapy Caps to Be Effective January 1, 2006
A42379: Probe Review Results of Group Psychotherapy Services by Licensed Social Workers in Arkansas for CPT 90853
A42384: Probe Review Results of Subsequent Hospital Care Evaluation and Management Services in Arkansas (CPT 99231 and 99232)
A42385: Probe Review Results of Wound Care Services in Arkansas for CPT 11042
A42438: Cardiac Catheterization In Other Than a Hospital Setting
A42449: Expansion of Coverage for Percutaneous Transluminal Angioplasty (PTA)
A42502: Therapy Caps Exception Process
A42545: Probe Review Results of Subsequent Nursing Facility Care Evaluation and Management Code 99311 in Arkansas
A42757: Process for the Therapy Cap Exception for Therapy Providers
A42883: Probe Review Results of Office or Other Outpatient Evaluation and Management Services in Arkansas (CPT 99212 - 99214)
A42933: Clinical Trial Reminder – Correction
A42963: Probe Review Results of Initial Hospital Care Evaluation and Management Codes 99221 - 99223 in Arkansas
A45399: Audit guidelines for CPT codes 11040-11043 - Arkansas
A45410: Additional Documentation Request (ADR) or CERT Letter - What Do I Need to Send In?
A45434: Axial Decompression Therapy Systems
A46236: Two Widespread Prepay Probes Planned for Office or Other Outpatient Consultation Codes (99241-99245) for Specialty 04 (Otolaryngology), Specialty 07 (Dermatology), and Specialty 13 (Neurology) in Arkansas
A46290: Medicare Coverage of Hyperbaric Oxygen Therapy
A46301: Probe Review Results of Subsequent Nursing Facility Care Evaluation and Management Codes 99307-99310 for Specialty 08 in Arkansas
A46303: Probe Review Results of 12 Lead ECG Interpretation and Report in Arkansas (CPT 93010), Specialties 06 (Cardiology) and 11 (Internal Medicine)
A46325: Probe Review Results of Subsequent Nursing Facility Evaluation and Management Services in Arkansas (CPT 99307-99310), Specialty 11(Internal Medicine)
A46331: Probe Review Results of Initial Consultation Evaluation and Management Services in Arkansas (CPT 99241-99242), Specialties 04 Otolaryngology, 07 Dermatology, and 13 Neurology
A46399: Probe Review Results of Emergency Department Evaluation and Management Services in Arkansas (CPT 99281-99283), All Specialties
A46437: Medicare Coverage of Positron Emission Tomography (PET Scans)
A46440: Widespread Probe Review Results of Consultation Services in Arkansas (CPT 99243) for Specialty 02 (General Surgery)
A46459: Probe Review Results on Office Consultation for a New or Established Patient in Arkansas (CPT 99244), Specialty 13 (Neurology)
A46463: Widespread Probe Review Results of New Patient Office Visits for Evaluation and Management Services in Arkansas (CPT 99204-99205) Specialty 08 (Family Practice)
A46464: Probe Review Results of New Patient Office or Other Outpatient Evaluation and Management Services (CPT 99205) in Arkansas, Specialty 13 (Neurology)
A46638: Critical Care - Local Coverage Determination Retired
A46652: Probe Review Results on Office Consultation for a New or Established Patient in Arkansas (CPT 99243), Specialty 04 (Otolaryngology)
A46653: Probe Review Results of Emergency Department Evaluation and Management Services in Arkansas (CPT 99284), Specialty 08 (Family Practice)
A46654: Probe Review Results of Emergency Department Evaluation and Management Code 99285 for Specialty 08 in Arkansas
A46674: Concurrent Care - Local Coverage Determination Retired
A46687: Revolving Audit Changes – Office or Other Outpatient Visits (99212-
A46728: Probe Review Results of Q6 Modifier in Arkansas, Specialty 30 (Diagnostic Radiology)
A46730: Probe Review Results of 12 Lead ECG Interpretations and Reports in Arkansas (CPT 93010), Specialty 08 (Cardiology)
A47413: Probe Review Results of Emergency Department Evaluation and Management Code 99281-99283 for Specialty 93 in Arkansas
A47414: Probe Review Results of Emergency Department Evaluation and Management Services in Arkansas (CPT codes 99281, 99282 and 99283), Specialty 08 (Family Practice)
A47416: Probe Review Results of Inpatient Consultations in Arkansas (CPT 99251-99253) for Specialty 11 (Internal Medicine)
A47428: Widespread Probe Review Results of Inpatient Consultation Services in Arkansas (CPT 99251- 99253) For Specialty 02
A48159: Widespread Probe Review Results of End Stage Renal Disease (ESRD) Related Services in Arkansas (HCPCS G0318) For Specialty 39 (Nephrology)
A48162: Arkansas & Louisiana Part B CERT Error Rate - Incorrectly Coded Evaluation & Management Services
A48747: Revolving Audit for Established Patient Office Evaluation and Management Services (99213) by Specialty 08 (Family Practice) in Arkansas
A48840: Fourth Quarter Audit Effectiveness – All Specialties for CPT Code 90804 in Arkansas
A48841: Fourth Quarter Audit Effectiveness – All Specialties Billing CPT Codes 93040-93042 ECG with an Evaluation and Management Service in Arkansas
A48842: Fourth Quarter Audit Effectiveness – Specialty 11 for CPT Codes 99307-99309 in Arkansas
A48843: Fourth Quarter Audit Effectiveness - CPT Code 99205 Specialty 13 in Arkansas
A48844: Fourth Quarter Audit Effectiveness – Specialty 13 & 18 for CPT Codes 99244-99245 in Arkansas
A48845: Fourth Quarter Audit Effectiveness – Specialties 41 & 48 Billing for CPT Codes 99304-99306 in Arkansas
A48846: Fourth Quarter Audit Effectiveness – Specialty 25 for CPT Code 99232 in Arkansas
A48876: Fourth Quarter Audit Effectiveness – Specialty 38 for CPT Codes 99232 and 99233 in Arkansas
A48877: Fourth Quarter Audit Effectiveness – CPT Code 99284 Specialty 08 in Arkansas
A48977: First Quarter FY 2009 Audit Effectiveness – All Specialties Billing CPT Codes 93040-93042 ECG with an Evaluation and Management Service, in Arkansas
A48978: First Quarter FY 2009 Audit Effectiveness–CPT Codes 99251-99253 Specialty 02 in Arkansas
A48979: First Quarter FY 2009 Audit Effectiveness –CPT Code 99284 Specialty 08 in Arkansas
A48980: First Quarter FY 2009 Audit Effectiveness – Sp 11 for CPT Codes 99307-99309 in Arkansas
A48981: First Quarter FY 2009 Audit Effectiveness –CPT Code 99205 Specialty 13 in Arkansas
A48982: First Quarter FY 2009 Audit Effectiveness – Sp 25 for CPT Code 99232 in Arkansas
A48983: First Quarter FY 2009 Audit Effectiveness – Sp 38 for CPT Codes 99232 and 99233 in Arkansas
A48985: First Quarter FY 2009 Audit Effectiveness – Specialties 41 & 48 Billing For CPT Codes 99304-99306 in Arkansas
A49128: First Quarter FY 2009 Audit Effectiveness–CPT Codes 99251-99253 Specialty 02 in Arkansas
A49129: First Quarter FY 2009 Audit Effectiveness –CPT Code 99284 Specialty 08 in Arkansas
A49130: First Quarter FY 2009 Audit Effectiveness – Sp 11 for CPT Codes 99307-99309 in Arkansas
A49132: First Quarter FY 2009 Audit Effectiveness –CPT Code 99205 Specialty 13 in Arkansas
A49133: First Quarter FY 2009 Audit Effectiveness – Sp 25 for CPT Code 99232 in Arkansas
A49134: First Quarter FY 2009 Audit Effectiveness – Sp 38 for CPT Codes 99232 and 99233 in Arkansas
A49135: First Quarter FY 2009 Audit Effectiveness – Specialties 41 & 48 Billing For CPT Codes 99304-99306 in Arkansas
A49213: CERT Errors - You Can Help Reduce Them!
A49214: Comprehensive Error Rate Testing (CERT) What is the Financial Impact to You?
A49583: Third Quarter FY2009 Audit Effectiveness – CPT Codes 99251-99253 Specialty 02 (General Surgery) In Arkansas
A49584: Third Quarter FY2009 Audit Effectiveness – CPT Codes 99244-99245 Specialty 13 (Neurology) In Arkansas
A49585: Third Quarter FY2009 Audit Effectiveness – SP 08 (Family Practice) For CPT Code 99213 in Arkansas
A49586: Third Quarter Audit Effectiveness – Specialties 41 (Optometry) & 48 (Podiatry) Billing for CPT Codes 99304-99306 in Arkansas
A49587: Third Quarter FY2009 Audit Effectiveness – CPT Codes 64470-64476 and 64622-64627 in Arkansas, All Specialties
A49596: Inquiries Regarding CERT Review
A49599: Fourth Quarter FY 2009 Audit Effectiveness – CPT Codes 64470-64476 and 64622-64627 in Arkansas, All Specialties
A49600: Fourth Quarter FY 2009 Audit Effectiveness – Sp 38 (Geriatric Medicine) For CPT Codes 99232 and 99233 in Arkansas
A49601: Fourth Quarter Audit Effectiveness – Specialties 41 (Optometry) & 48 (Podiatry) Billing for CPT Codes 99304-99306 in Arkansas
A49602: Fourth Quarter FY 2009 Audit Effectiveness – CPT Codes 99251-99253 Specialty 02 (General Surgery) in Arkansas
A49908: CERT Error Rates Released by CMS
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