Medicare News
Isolated Ultrafiltration Coding
Recently, Novitas reviewed services reporting Isolated Ultrafiltration for Management of Fluid Overload in Cardiac Disease. Following the review, it was determined that HCPCS code 90999, Unlisted Dialysis Procedure, Inpatient or Outpatient is the most accurate HCPCS code to report for this service.
Effective for dates of service on or after August 14, 2014, claims for ultrafiltration for management of fluid overload in cardiac disease should be reported with HCPCS code 90999. Consistent with the current process for Not Otherwise Classified (NOC) codes, payment for these services will be determined by the Contractor. Please refer to the Local Contractor Pricing Webpage for additional information regarding the determination of fees.
Do you have questions about proper reporting of Vagal Nerve Stimulation (VNS) Replacement Parts?
View our online bulletin for more information.
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
Part A Top Inquiries
The Part A Top Inquiries Frequently Asked Questions (FAQs) have been updated. Please take time to review these FAQs for answers to your questions.
Part B Top Inquiries
The monthly Part B FAQs have been updated. Please take some time to review these FAQs for answers to your questions.
New Medicare Insights Weekly Podcasts Now Available
In this week's Medicare Insights Weekly podcast, we discuss the Comprehensive Error Rate Testing (CERT) program and review examples of the categories in which most of the errors occur. Learn how to avoid these errors, listen today!
Medicare Learning Network (MLN) Articles from CMS
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