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Top Stories
- Q/A: New device pass-through categories
Q: Will CMS ever approve any new device pass-through categories?
- Tip: Note physician supervision changes
CMS finalized two significant changes to the physician supervision requirements as part of the 2012 OPPS Final Rule.
- Q/A: Reporting negative pressure therapy
Q: The new guidelines for the integumentary system section state that CPT® codes 15002–15005 are noted to be reportable for surgical preparation of the site, including for negative pressure wound therapy. Please explain how to use these codes when reporting negative pressure wound therapy? This may affect how we report certain wound care services that we provide.
- Tip: Set rates that reflect intent of new codes
CMS expects hospital charges to reflect the relative resources that are required to provide a particular service. Therefore, someone at each hospital must understand new and replaced code changes, determine the intent of the new codes, and work with the appropriate individuals to develop an accurate charge.
- CMS posts Q4 improper payment figures, top issues by region
Each quarter CMS issues a recovery audit program update that details the total amount of overpayments and underpayments indentified in that quarter.
- Confusing the rebuttal process with the discussion period
The following question and answer is an exchange between a reader and the Revenue Cycle Institute team:
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