Tag Archives: Nursing Facility
Specialists’ Non-Physicián Practitioners Can Collect Primary Care Incentive Bonuses
Question: Our cardiology practice employs a non-physicián practitioner (NPP) who performs a lot of E/M services for our patients, and that NPP received a bonus payment as part of the Primary Care Incentive Payment Program, which surprised us. We wan… Continue reading
Place-of-Service Codes Caused $13 Million in Overpayments
Double check POS 11 shouldn’t be 22 — or 24.
Entering your place-of-service (POS) number on your claim form may seem routine, but a recent OIG audit found that practices are not giving POS numbers the care they deserve.
Based on a r… Continue reading
E/M Audits: MAC Sets Up Pre-Pay Edit for Code 99310
87 percent error rate leads to drastic measures.
If you think CMS is only watching your E/M codes when it comes to the office or hospital, think again. One MAC recently reviewed nursing facility care claims and was stunned at the findings.
NGS Medicare, a Part B payer in four states, announced on Jan. 26 that it [...]
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