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CPT chronic care changes align more closely with looming Medicare coverage

With Medicare set to kick off coverage for chronic care management services in 2015, new and revised CPT E/M codes may make it easier for CMS to pay for these services using CPT codes rather than HCPCS codes. Exactly how to bill them won’t be… Read full entry»

Latest News

LCD Updates for October 13 to October 20

November 24th, 2014 by PitchStone Health Staff

From October 13 to October 20, 36 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | NGS | Palmetto GBA | WPS CGS L31827: B-type Natriuretic Peptide (BNP) Testing PitchStone Summary: Corrects a typographical error not impacting coverage.… Read full entry»

CMS Updates for the Week Prior to 11/17/2014

November 23rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 7 CMS transmittals out of 28 released the week of November 10 that are relevant to physician practices. R1433OTN: Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating… Read full entry»

CMS Updates for the Week Prior to 11/10/2014

November 23rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 1 CMS transmittal out of 3 released the week of November 10 that is relevant to physician practices. R3103CP: Reporting the Service Location National Provider Identifier (NPI) on Anti-Markup and Reference Laboratory Claims Pitchstone analysis: Changes implementation date for requirement… Read full entry»

CMS Updates for the Week Prior to 11/03/2014

November 23rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 1 CMS transmittal out of 3 released the week of November 3 that is relevant to physician practices. R550PI: One on One Education Pitchstone analysis: Defines one on one education as written or oral guidance to an individual provider having… Read full entry»

CMS Updates for the Week Prior to 10/27/2014

November 23rd, 2014 by PitchStone Health Staff

Pitchstone Health analysis of the 4 CMS transmittals out of 12 released the week of October 27 that are relevant to physician practices. R176NCD: Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal-Occult Blood Tests (FOBT) Pitchstone Health analysis: This transmittal… Read full entry»

New valve repair codes prompt other revisions to valve section next year

November 19th, 2014 by Scott Kraft

New valve repair codes prompt other revisions to valve section next year You’ll have two new codes to use next year to report transcatheter mitral valve repair (TMVR), and their creation has spawned a few other revisions to the heart valves and vessels section of… Read full entry»


Healthcare News from Around the Web

November 19th, 2014 by Scott Kraft

In this week's healthcare news from around the Web, two providers worry about whether metric-driven incentives can cause harm, a new AMA mapping tool helps determine areas most in need of a provider, and retired physicians get the call to help alleviate provider shortages. Read full entry»

Big changes for lab codes related to drug testing in 2015

November 15th, 2014 by Scott Kraft

Drug screening codes get overhauled as part of 2015 CPT changes. Read full entry»


Healthcare news from around the Web

November 13th, 2014 by Scott Kraft

Price Displays Draw Ethical Arguments With increased pressure to eliminate resource waste and overutilization of medical treatments, some experts believe price displays may help physicians reduce unnecessary treatments through price transparency. Studies have found that providers who are aware of specific treatment price points, are… Read full entry»

New vertebroplasty codes for 2015 include imaging

November 10th, 2014 by Scott Kraft

Don’t look to bill separately for any imaging services in 2015 when you bill for percutaneous vertebroplasty or vertebral augmentation. Six new cods for 2015 make clear that all imaging guidance is included in these services. They replace six similar codes that did not include… Read full entry»