Find-A-Code Focus Newsletter

2018 February Items

New enhancements to Find-A-Code search bar!

February 26, 2018
We're pleased to announce improvments to the search bar in the header and the home page! Now you're able to select from a drop-down list many different places to search - whether by our standard keyword search, or by a Click-A-Dex™ index search, or through one of our other specialized searches... Read More

Have you done an in office audit? Do you know what that is?

February 21, 2018 - By Christine Taxin
Adding value is the foundation of a business.  When purchasing a dental practice, the or running a long time practice you should be checking inventory. The added value in a dental practice is the patient charts, the quality of the staff, and the systems that are in place.  Systems are mea... Read More

CMS Releases Update to E&M Documentation Requirements in a Teaching Facility

February 21, 2018
On February 2, 2018, Centers for Medicare & Medicaid Services (CMS), issued new guidance regarding E&M Documentation in a teaching facility to be implemented by March 5, 2018. There was no change to any of the published rules regarding a student's ability to perform the Review of Sys... Read More

Medicare Using Private Payor Prices to Set Payment Rates for Clinical Diagnostic Laboratory Tests Starting January 2018

February 06, 2018 - By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
On June 17, 2016, CMS announced the release of its final rule implementing section 216(a) of the Protecting Access to Medicare Act of 2014 (PAMA). This final rule requires reporting entities to report private payor rates paid to laboratories for lab tests, which will be used to calculate Medicare pa... Read More

OIG Reviews Medicare Advantage Claims

February 05, 2018 - By Wyn Staheli, Director of Research
On January 16, 2018, the OIG released a report of their findings on claims data for Medicare Advantage plans. While it appears that there were not significant issues, they did find that: "Types of potential errors included inactive or invalid billing provider identifiers; duplicated service lines;... Read More

NEW on Find-A-Code...National Coverage Determinations (NCDs)

February 05, 2018 - By Aimee Wilcox, CPMA, CCS-P, CMHP, CST, MA, MT
Medicare limits its coverage of services to those considered to be reasonable and necessary for the diagnosis and treatment of an injury or illness based on coverage guidelines. National Coverage Determinations (NCDs) are created based on research, evidence-based processes, public participation, and... Read More

Two of the Largest Public-Private Health-Care Forms a New Partnership

February 05, 2018
CMS announced today, “VA, Health and Human Services Announce Partnership to Strengthen Prevention of Fraud, Waste and Abuse Efforts”.   This new alliance will allow the VA access to CMS’ program integrity protocols which will enable them to close existing gaps in their c... Read More

No HCPCS Code Available? Now What?

February 05, 2018 - By Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
HCPCS level II codes classify products into categories for the purpose of claims processing. HCPCS level II codes are alphanumeric with a descriptive terminology that identifies the item or service used primarily for billing purposes. There are several types of HCPCS level II codes such as: Perm... Read More

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