Update: New issues approved for Florida
The RAC Report, September 3, 2009
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- Untimed codes
- IV hydration therapy
- Once in a lifetime procedures
- Pediatric codes exceeding age parameters
- J2505: Injection, Pegfilgrastim, 6 mg
- Blood transfusion
- Urological bundling
- Wheelchair bundling
Note that CMS has not approved bronchoscopy services audits at this time for Florida providers.
However, CMS has approved the following new issue:
- Clinical social worker (CSW) services. CSW services rendered during an inpatient hospital stay are not separately payable under Medicare Part B; they are included in the facility’s prospective payment system (PPS) payment. CSW providers are expected to seek reimbursement from the facility.
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