Category Archives: Medical Billing

Specific Modifiers for Distinct Procedural Services

Posted on by

Specific Modifiers for Distinct Procedural Services (XE, XP, XS, XU) (new) Modifier 59, distinct procedural service, indicates procedures or services that are separate or distinct from other same-day services. Effective January 1, 2015, new XE, XP, XS, and XU modifiers may be used instead of modifier 59 to provide a more accurate means of describing why certain procedures with the Continue reading Specific Modifiers for Distinct Procedural Services→

New CPT codes for Clinical Laboratory Waived Tests

Posted on by

CLIA regulations require a facility to be appropriately certified for each test performed. To ensure that Medicare & Medicaid only pay for laboratory tests categorized as waived complexity under CLIA in facilities with a CLIA certificate of waiver, laboratory claims are currently edited at the CLIA certificate level. Listed below are the latest tests approved by the FDA as waived Continue reading New CPT codes for Clinical Laboratory Waived Tests→

Avoid missing critical and costly deadlines by signing up for our eAlerts. Click the button to find out more..
eAlerts Sign Up

Congress fails to delay ICD-10 beyond 10-1-2015

Posted on by

Congress recently failed to adopt language that would further delay ICD-10 leaving in place the current implementation date of October 1st, 2015. It is not likely that there will be any further changes to the ICD-10 implementation date. In order to avoid rejections or delays in reimbursements due to improper coding in claims submissions, providers need to act now. Add-ons Continue reading Congress fails to delay ICD-10 beyond 10-1-2015→

National Health Expenditures continued slow growth in 2013

Posted on by
Avoid missing critical and costly deadlines by signing up for our eAlerts. Click the button to find out more..
eAlerts Sign Up
Cutting Money

National Health Expenditures continued slow growth in 2013 Health spending continued to grow at a slow rate last year the Office of the Actuary (OACT) at the Centers for Medicare & Medicaid Services (CMS) reported today. In 2013, health spending grew at 3.6 percent and total national health expenditures in the United States reached $2.9 trillion, or $9,255 per person. Continue reading National Health Expenditures continued slow growth in 2013→