CMS Provides Clarification on the Use of Modifiers When Billing “Wrong Surgery on a Patient”

The Centers for Medicare and Medicaid Services (CMS) recently released a Medicare Learning Network podcast which was intended to clarify the correct use of certain HCPCS modifiers, specifically when billing for wrong surgery on a patient. CMS discussed the HCPCS modifier -PC (Wrong Surgery on Patient), which was established in CR6405 (pdf), along with two […]

American Chiropractic Association Publishes New PQRS Reporting Resources

The American Chiropractic Association (ACA) has published several new resources intended to help doctors of chiropractic (DCs) with proper implementation of Medicare’s Physician Quality Reporting System (PQRS). Eligible professionals who do not satisfactorily report data on quality measures for covered professional services will be subject to a PQRS negative payment adjustment (pdf) beginning in 2015. […]

CMS Releases New Version of Ambulance Fee Schedule Fact Sheet

The Centers for Medicare & Medicaid Services has released the latest version of its Medicare Learning Network “Ambulance Fee Schedule” fact sheet.  This fact sheet is intended to provide education on the Ambulance Fee Schedule and ambulance billing. It includes information on the following: Medicare ambulance transport benefit; types of ambulance providers and suppliers to […]