News
Coding
Akin and an Implant
by Dr. Michael Warshaw, DPM, CPC
- October 27, 2020
- By tahlia@tldsystems.com
- 0 Comments
“I have a patient who will undergo a Cartiva implant procedure for hallux limitus/rigidus at the 1st metatarsophalangeal joint. He also has lateral deviation of his hallux on the same foot and an Akin osteotomy will be performed to address this deformity. Should the Akin osteotomy be billed as a separate procedure or is that considered unbundling?”
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FDA Recalls
FDA Recalls for the Week of October 18
by TLD Systems
- October 27, 2020
- By tahlia@tldsystems.com
- 0 Comments
FDA recalls on drugs, medical devices, food & beverages, and animal & veterinary for the week of October 18, 2020
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FDA Recalls
FDA Recalls for the Week of October 11
by TLD Systems
- October 19, 2020
- By tahlia@tldsystems.com
- 0 Comments
FDA recalls on drugs, medical devices, food & beverages, and animal & veterinary for the week of October 11, 2020
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Coding
Problems With Prior Hardware
by Dr. Michael Warshaw, DPM, CPC
- October 19, 2020
- By tahlia@tldsystems.com
- 0 Comments
“We are having difficulty with a denial when combining CPT 28320 and CPT 20680. CPT 20680 is being rejected as unbundling. According to CCI edits, CPT 28320 is a Column 1 code and CPT 20680 is a Column 2 code and they are allowed. The surgeon removed hardware from a prior surgery performed by a different surgeon not associated with the practice then repaired a non-union and applied new fixation. Is the removal of prior hardware actually included in CPT code 28320? If not, what modifier should be used if it is the same incision/surgical site as the non-union repair?”
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CMS Updates
CMS Announces New Repayment Terms for Medicare Loans Made to Providers During COVID-19
by Dr. Michael Brody, DPM, CEO TLD Systems
- October 19, 2020
- By mbrody
- 0 Comments
CMS announced amended terms for payments issued under the Accelerated and Advance Payment (AAP) Program as required by recent action by President Trump and Congress. This Medicare loan program allows CMS to make advance payments to providers, which are typically used in emergency situations. Under the Continuing Appropriations Act, 2021 and Other Extensions Act, repayment will now begin one year from the issuance date of each provider or supplier’s accelerated or advance payment. CMS issued $106 billion in payments to providers and suppliers in order to alleviate the financial burden health care providers faced while experiencing cash flow issues in the early stages of combating the Coronavirus Disease 2019 (COVID-19) public health emergency.
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CMS Updates
CGS announces Widespread Post-Pay Service Specific Review
by Dr. Michael Brody, DPM, CEO TLD Systems
- October 19, 2020
- By mbrody
- 0 Comments
CGS's Medical Review staff will be conducting a complex post-pay service-specific medical review of HCPCS Codes L1902; L1906; L1971; L4396; L4397 (Ankle-Foot Orthosis). This review will be conducted because data analysis revealed that Jurisdiction B's allowed dollars for HCPCS Codes L1902; L1906; L1971; L4396; and L4397 were significantly above expected amounts. Additionally, the Orthotics policy group ranked #1 in total CERT errors.
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