CMS alert: CY2019 DMEPOS fee schedule update and KX modifier amounts

Source: The Bottom Line CR 11064 (MLN Matters) provides the Calendar Year 2019 annual update for the Medicare DMEPOS fee schedule. The update includes information on the data files, new and deleted HCPCS codes, adjusted fee schedule amounts, and other information related to the update of the fee schedule. Click here to read the full […]

Special requirements for billing urology supplies & updated DMEPOS fee schedule

Source: The Bottom Line Medicare covers urinary catheters and external urinary collection devices when they are used to drain or collect urine for a resident with permanent urinary incontinence or permanent urinary retention. According to CMS, permanent urinary retention occurs when the condition is not expected to be medically or surgically corrected within three months. […]

Frequently asked questions about Medicare Part B

Source: The Bottom Line Q: How should multiple units of the same HCPCS code given on the same day be listed on the UB-04 (e.g., four units of 97530 in occupational therapy)? A: Units of the same HCPCS code provided by the same discipline on the same day should be listed on the same line […]

CMS releases home health consolidated billing code changes

The Centers for Medicare & Medicaid Services (CMS) has updated the lists of HCPCS codes that are subject to the consolidated billing provision of the Home Health Prospective Payment System (HH PPS). The home health consolidated billing code lists are updated annually to reflect the annual changes to the HCPCS code set. Note that no […]