Thursday, November 7, 2013

Phase 2 Medicare Ordering & Referral Denial Edits

If you haven't heard, or not aware... Medicare put this out yesterday, These denial edits will affect both Part A and Part B -- L : ) MLN Connects - Provider eNews - Medicare Learning Network Wednesday, November 6, 2013 Ordering and Referring Denial Edits Will Be Implemented on January 6, 2014 CMS will instruct contractors to turn on Phase 2 denial edits on January 6, 2014. These edits will check the following claims for a valid individual National Provider Identifier (NPI) and deny the claim when this information is invalid: Claims from clinical laboratories for ordered tests; Claims from imaging centers for ordered imaging procedures; Claims from suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) for ordered DMEPOS; and Claims from Part A Home Health Agencies (HHAs). For more information: MLN Matters® Article #SE1305, “Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856)” For More information... click this link

Tuesday, November 5, 2013

CCI 19.3 Update - Free Webinar

Good Afternoon!!!! has put out a flyer for a free webinar in regard to the CCI update version 19.3 If you attend live it is good for 1.0 CEU from the AAPC. Good Stuff and FREE!!!! Take advantage if you can. L : )