Gastroenterology Billing Compliance: Enteral Infusion Pumps

The Centers for Medicare & Medicaid Services (CMS) has released a video that contains guidance to help providers bill correctly for enteral infusion pumps. Medicare Part B covers enteral nutrition supplies and equipment (feeding pump) under the prosthetic device benefit. The two-minute video discusses Medicare coverage criteria for enteral infusion pumps and the four pieces […]

Medicare Awards New Contracts for Recovery Audit Contractors

The Centers for Medicare & Medicaid Services has announced the awarding of the next round of Medicare Fee-for-service recovery audit contractor (RAC) contracts. The Medicare Recovery Audit Program’s mission is to identify and correct improper Medicare medical billing payments through the detection and collection of overpayments made on claims of healthcare services provided to Medicare […]

Free Webinar: Clinical Diagnostic Laboratory Test Payment System

The Centers for Medicare & Medicaid Services (CMS) is hosting a complimentary webinar concerning the clinical laboratory billing. The program, “Clinical Diagnostic Laboratory Test Payment System: Data Reporting Call,” takes place Wednesday, November 2, from 2:30-3:30 pm ET. During this program, attendees will learn how to report data required by the Clinical Diagnostic Test Payment […]

CMS Releases Laboratory Billing Compliance Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) has released a new provider compliance fact sheet concerning laboratory medical billing. The fact sheet noted that a HHS report revealed “laboratory tests – other” (e.g., urine drug screening, medication assays, genetic tests, tissues examination, blood tests) had an improper payment rate of 39 percent, with a […]

CMS to Allow Provides to ‘Pick Their Pace’ for MACRA Quality Payment Program Compliance

The Centers for Medicare & Medicaid Services has announced it will allow providers to “pick your pace” of participation in the Quality Payment Program included in the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Understanding Your Options The options identified by CMS are as follows: 1. Test the Quality Payment Program. With this […]

CMS Issues Reminder About Reporting Medicare Enrollment Changes

The Centers for Medicare & Medicaid Services (CMS) has issued a reminder to Medicare-enrolled providers concerning reporting changes in enrollment information. Failure to comply with the requirements to report changes in Medicare enrollment information could result in the revocation of Medicare billing privileges. All physicians, non-physician practitioners (e.g., physician assistants, nurse practitioners, clinical nurse specialists, […]

CMS Publishes Revised Telehealth Services Fact Sheet

The Centers for Medicare & Medicaid Services (CMS) has recently published a revised fact sheet on telehealth services. The fact sheet provides information about originating sites; distant site practitioners; telehealth services; and billing and payment for professional services furnished via telehealth and the originating site facility fee. Here is some important background information on telehealth […]