Inside Angle

From 3M Health Information Systems

Tag: MACs

Eyes on Eylea and Lucentis

August 9th, 2019 / By Divya Verma, RHIA

Recently, I came across an OIG announcement “Review of Medicare Part B Claims for Intravitreal Injections of Eylea and Lucentis” released in June 2019. Upon reading this announcement, I pulled […]

CMS mandates changes to Local Coverage Determination (LCD) policies

October 5th, 2018 / By Barbara Aubry, RN

On October 3, 2018, CMS released CR 10901, Transmittal R829PI, effective October 3, 2018 with an implementation date of January 8, 2019. This is an important modification to the LCD […]

Lest we forget: Focus still on medical necessity

December 6th, 2017 / By Barbara Aubry, RN

Can you believe 2017 is coming to a close? Did this year fly by for everyone, or is it just me? Some pretty interesting ideas were put forth in 2017, […]

Lesser ICD-10 impact this year, but maybe not so for LCDs

November 20th, 2017 / By Divya Verma, RHIA

When 2018 ICD-10 codes were implemented this October 1, I hoped that ICD-10 related Local Coverage Determination (LCD) updates would be fewer as compared to last year’s updates. Due to […]

CMS Releases Clarifications to NCDs and LCDs

December 7th, 2015 / By Barbara Aubry, RN

I feel a bit like January, 2000 – much ado about little. Looks like (so far) ICD-10 is a go. I’m not saying there haven’t been bumps in the road, […]

CMS is Serious about Overuse of Modifiers: More on 59

November 5th, 2014 / By Barbara Aubry, RN

On September 10, 2014, OIG announced it settled with a physician group practice in Illinois for overuse of modifiers.  The practice exceeded the number of units allowed for certain services […]

CMS: CDI Take Note – Physician Claims Related to Hospital Denials Will Soon Be Scrutinized

October 8th, 2014 / By Barbara Aubry, RN

On September 4, 2014 CMS replaced Transmittal 534 with Transmittal 540, Change Request 8802 to “adhere to CMS Inpatient recoding policy standards, which was accomplished by removing the recoding language […]

Alphabet Soup: Acronyms and E&M Coding

July 23rd, 2014 / By Rebecca Caux-Harry

As healthcare professionals, we have a lot of acronyms to keep straight, don’t we? Feels like alphabet soup in my head some days. I’m reminded of a scene in the […]