Posted: January 16, 2005
Be sure and thoroughly review the revised, new and deleted codes that will effect your practice in 2005. Check the 2005 HCPCs book for full narratives. Watch for changes to the descriptions, as well as quantity changes to the currently used J-Codes.
[Download a printable version of the updates here.]
The handouts for the January 4, 2005 MOASC webinar "2005 Medicare Coding for Drug Administration" are available for download.
The list of carrier priced drug code pricing is now available.
The following policies of interest have been updated:
Intravenous Immune Globulin (IVIg), Erythropoietin Analogs for the Treatment of Anemia Unrelated to Dialysis Therapy.
An article regarding the Oncotype DX Test for Breast Cancer Tissue Samples has been posted.
The December Medicare Advisory Forum (MAF) minutes are available for review.
Information on the Pre-CAC and CAC meetings is now available.
ICD-9-CM coding reminder. All Medicare claims must be billed to Part B carriers with a valid diagnosis code. Claims that do not contain a valid diagnosis code in item 21 of the CMS -1500 claim form or equivalent electronic field (HI segment - Loop 2300 will be returned as unprocessable.
Payment limit for Medicare Part B Drugs has been posted and updated.
CMS issued the 2005 Drug Administration Coding Revisions . (CR 3631)
CMS issued information on the Chemotherapy Demonstration Project. (CR 3670)
CMS issued 2005 update for SNF Consolidated Billing . (CR 3535) as well
a correction to the Jan 2005 update of HCPCS codes for Skilled Nursing Facility (SNF) Consolidated Billing. (CR 3613).
CMS has an article that explains the Skilled Nursing Facility (SNF) Consolidated Billing service furnished under an 'arrangement' with an outside entity. (CR 3592) CMS announced the Recovery Audit Contract (RAC) Initiative. (SE0469)
CMS notification of Provider Enrollment Fraud Alert.
CMS has implemented a Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services . (CR 3630)
CMS has issued guidelines for the following new benefits: Initial Preventive Physical Examination (CR3638) and Diabetes Screening Tests (CR 3637)
CMS has implemented a new Provider Customer Service Program. (CR3376)
CMS published information on the new case-mix adjusted end stage renal disease composite rate. (CR 3572)
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