For more information please click on the title of this post, then this link CMS Quick Reference
Centers for Medicare & Medicaid Services (CMS) provides helpful web pages
Category: Medicare
Is your physician registered with PECOS?
For more information, please click on the title of this post then click on this link PECOS
Welcome to the Physician and Other Healthcare Professional Directory
You can use this tool to search for basic information about the following healthcare providers:
- Physicians
- Many other types of healthcare professionals who aren’t physicians including nurse practitioners, physician assistants, social workers, psychologists, and physical therapists
Your search will include: Provider profiles including specialties, practicing locations, and phone numbers. Other information may also include education, gender, residency, foreign languages spoken, and hospital affiliation.
HCPCS Code Update – 2010
For more information, please click above on the title of this post, then click this link CODE UPDATES
HCPCS Code Update – 2010
The following list identifies changes to level II Healthcare Common Procedure Coding System (HCPCS) codes for 2010.
Added Codes/Added Modifiers: New codes and modifiers are effective for dates of service on or after January 1, 2010.
Discontinued Codes/Deleted Modifiers: Codes or modifiers that are discontinued/deleted will continue to be valid for claims with dates of service on or before December 31, 2009, regardless of the date of claim submission. If there is a direct crosswalk for a discontinued/deleted code or modifier, it is listed in the table. The crosswalked codes are also “added” codes effective for dates of service on or after January 1, 2010.
There is no grace period that would allow submission of the discontinued code for dates of service in 2010.
Narrative Changes/Revised Modifiers: A description change for an existing code or modifier is effective for dates of service on or after January 1, 2010.
The following codes are being deleted from the HCPCS effective January 1, 2010, and are therefore being removed from the DMEPOS fee schedule files
For more information, please click above on the title of this post, then click this link DELETED CODES
The following codes are being deleted from the HCPCS effective January 1, 2010, and are therefore being removed from the DMEPOS fee schedule files
Knee Orthoses—Prepayment Review Update
For more information, please click above on the title of this post, then click the link For additional information
The National Government Services Jurisdiction B Medical Review Department recently conducted a prepayment targeted medical review of Knee Orthoses. This is a widespread random selection of submitted claims based on a targeted service(s) from multiple suppliers which are reviewed for medical necessity.
DME INFO 