Highlights of Policy and Payment Changes to the Medicare Physician Fee Schedule for 2015

The Centers for Medicare & Medicaid Services (CMS) recently issued its final rule that updates payment policies and rates for services furnished under the Medicare Physician Fee Schedule (PFS) in 2015. Here are some of the highlights of the policy and payment changes for services furnished under the PFS. Screening and diagnostic digital mammography. Until […]

Coding Guidance for Smoking Cessation Counseling

The American Psychiatric Association provides a two-page resource discussing procedure coding for smoking cessation counseling. There are a number of different procedure codes that can be used to describe services provided to encourage changes in behavior of individuals who use tobacco. The resource identifies the CPT and HCPCS codes that describe smoking/tobacco cessation counseling, as […]

Free Orthopedic ICD-10 Resources

The Centers for Medicare & Medicaid Services, as part of its “Road to 10: The Small Physician Practice’s Route to ICD-10,” offers a series of valuable, free ICD-10 resources for orthopedic surgeons. These resources include the following: 1. Common orthopedics codes. An illustrative sample of high-impact diagnosis codes related to common conditions that you may […]

Significant Developments for Gastroenterology in Medicare’s 2015 Final Rules

The Centers for Medicare & Medicaid Services (CMS) has released its final rule for physician reimbursement under Medicare or 2015, and it includes a few developments that should be of interest to gastroenterologists. According to an American Gastroenterological Association report, highlights include the following: CMS has delayed the valuation of the lower gastrointestinal endoscopy codes […]

Free Medicare Resource: Appeals Process Podcast

A free 15-minute podcast on the Medicare appeals process is now available from the Centers for Medicare & Medicaid Services (CMS). According to CMS, the podcast is designed to provide education on the five levels of claim appeals in original Medicare (Medicare Part A and Part B). It includes details explaining how the Medicare appeals […]