tci Medicare Compliance & Reimbursement - 2009 Issue 19

COMPLIANCE: Watch Date-of-Service on Osteoporosis Claims

Avoid denials with this official guidance. If you're getting denied for osteoporosis drug injections, you aren't alone -- and the Centers for Medicare & Medicaid Services has taken note.Problem: Many claims submitted for covered osteoporosis drugs don't provide a date of service that falls within the start and end dates of an existing prospective payment system (PPS) episode, according to a recent MLN Matters article. Medicare outlines three criteria for covering injectable osteoporosis claims: • Patients are eligible for home health services; • Physicians certify that the individual sustained a bone fracture related to post-menopausal osteoporosis; and &bull...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.