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OIG budget request seeks big boost for enforcement

OIG asks for millions in additional funds to focus on audits, enforcement as part of 2016 budget process. Read full entry»

Latest News

LCD Updates for January 19 to January 26

February 26th, 2015 by PitchStone Health Staff

From January 19 to January 26, 31 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | Palmetto GBA     CGS L31829: Cardiac Catheterization and Coronary Angiography PitchStone Summary: Removes restriction for coverage of pulmonary angiography as a… Read full entry»

LCD Updates for January 5 to January 12

February 23rd, 2015 by PitchStone Health Staff

From January 5 to January 12, 13 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | NGS     CGS L31836: Chemotherapy and Biologicals PitchStone Summary: Updates LCD to reflect changes in the CPT and/or HCPCS codes covered… Read full entry»

LCD Updates for December 29 to January 5

February 21st, 2015 by PitchStone Health Staff

From December 29 to January 5, 188 LCD (Local Coverage Determination) updates took effect: Jump to: CGS | Cahaba GBA | FCSO | NGS | Noridian | Palmetto GBA | WPS CGS L31831: Cardiovascular Nuclear Medicine PitchStone Summary: Updates LCD to reflect changes in the… Read full entry»

CMS Updates for the Week of 02-02-2015

February 21st, 2015 by PitchStone Health Staff

Pitchstone Health has reviewed the 16 transmittals released the week of February 2, 2015, and analyzes the 2 that are relevant to physician practices: R3175CP: Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)-Blinded Clinical Trial – Follow-Up CR to Implement a Second Claims… Read full entry»

CMS Updates for the Week of 01-26-2015

February 21st, 2015 by PitchStone Health Staff

Pitchstone Health has reviewed the 1 transmittal released the week of January 26, 2015 and analyzes it: SE1504: Payment Codes on Home Health Claims Will Be Matched Against Patient Assessments Home-health related special information update that isn’t relevant to physician practice.  … Read full entry»

CMS Updates for the Week of 01-19-2015

February 21st, 2015 by PitchStone Health Staff

Pitchstone Health has reviewed the 4 transmittals released the week of January 19, 2015, and analyzes the 3 most relevant to physician practices: R1451OTN: International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015 Updates deliverable dates for end-to-end testing for… Read full entry»


CMS Updates for the Week of 01-12-2015

February 19th, 2015 by PitchStone Health Staff

Pitchstone Health has reviewed the 7 transmittals released the week of January 12, 2015, and analyzes the 3 most relevant to physician practices: R249FM: Notice of New Interest Rate for Medicare Overpayments and Underpayments – 2nd Qtr Notification for FY 2015 Sets the interest rate… Read full entry»

CMS Updates for the Week of 01/05/2015

February 19th, 2015 by PitchStone Health Staff

Pitchstone Health has reviewed the 6 transmittals released the week of January 5, 2015, and analyzes the 4 most relevant to physician practices: R3160CP: Preventive and Screening Services — Update – Intensive Behavioral Therapy for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Associated with Screening… Read full entry»


LCD Updates for January 13 to January 20

February 11th, 2015 by PitchStone Health Staff

From January 13 to January 20, 19 LCD (Local Coverage Determination) updates took effect: Jump to: FCSO | Highmark | NGS | Palmetto GBA | WPS     FCSO L29200: Intensity Modulated Radiation Therapy (IMRT) PitchStone Summary: Updates LCD to reflect changes in the CPT… Read full entry»

Modifier 59 still okay – for now

February 9th, 2015 by Scott Kraft

CMS confirms that it is still okay to use modifier 59 on Medicare claims whenever its usage is proper, but that may change in the future. Read full entry»