Medicare

CMS has issued its transmittal to accompany the 2014 DMEPOS fee schedule

CMS has issued its transmittal to accompany the 2014 DMEPOS fee schedule update at http://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/2013-Transmittals-Items/R2836CP.html?DLPage=1&DLSort=1&DLSortDir=descending).  The reimbursement update factor this year is 1%. The transmittal includes a discussion of specific coding and pricing issues, including policies regarding the new off-the-shelf (OTS)… Read More ›

CMS Launches Sunshine Website

The Sunshine Law (officially known as the National Physician Payment Transparency Program) creates greater transparency around the financial relationships of manufacturers, physicians, and teaching hospitals. The Sunshine Law requires that the following information is reported annually to CMS: Applicable manufacturers… Read More ›

HIPAA Self Pay Rule

As they prepare to meet the Sept. 23 compliance deadline for the HIPAA Omnibus Rule, security leaders at healthcare organizations are finding one requirement particularly challenging.  The rule requires organizations to accommodate patients’ requests to not disclose to their health… Read More ›

HCPCS Code L0430 – Invalid

Effective for dates of service on or after November 17, 2012, Healthcare Common Procedure Coding System (HCPCS) code L0430 (SPINAL ORTHOSIS, ANTERIOR-POSTERIOR-LATERAL CONTROL, WITH INTERFACE MATERIAL, CUSTOM FITTED (DEWALL POSTURE PROTECTOR ONLY)) will be invalid for claim submission to the… Read More ›