Recently Medicare expanded their definition of the health care provider who can certify the patient as being diabetic. This brief article will answer some questions, but many others remain unquestioned.
“All the nails were trimmed in length with a sterile nail nipper. The leading edges were debrided with the nail bur and electric podiatry drill. The debris under the edges of the great toenails was derided with the sterile curette. Is this nail trimming (CPT 11719) since we DID NOT debride the entire nail (just edges and under toe) or can we bill as CPT 11721?”
When you do a back of your data (EHR, Digital Imaging, Billing Program) you hit a button to run your backup and at some point you get a message that your backup is complete. When you have a cloud service, your cloud provider is probably completing your backups.
On November 5th, 2020, the DME MACs released two joint publications detailing expansion of the roles of Nurse Practitioners (NP) and Physician Assistants (PA) in certifying therapeutic shoes and inserts for beneficiaries. CMS is utilizing its authority under the soon-to-be-launched Primary Care First (PCF) model to waive Social Security Act 1861(s)(12), the section which requires that an MD or DO only, is permitted to certify therapeutic shoes and inserts for beneficiaries.
Arizona has apparently received some changes to its HCPCS validation which is reflected in this announcement by CGS.
This has some far reaching implications beyond the Arizona brand name.
