PHYSICIAN NOTES: Don't Take New ESA Coverage Limits Lying Down

Article Overview

This news-style article covers several Medicare and physician billing topics of interest to oncology practices, coders, and reimbursement staff. It discusses a revised coverage policy for erythropoiesis stimulating agents, new supplemental insurer reason codes for crossover claims, proposed changes to Quality Improvement Organization functions, a reported fraud case, and CMS guidance on reporting NPIs on the CMS-1500 claim form. The article is relevant to people monitoring Medicare policy, claims edits, and form completion changes.