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Displaying records 1 to 20 out of 2498 results for "modifier to add to drug overage charges".
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SORT RESULTS BY: RELEVANCY | PUBLICATION DATE
Use modifier -59 (distinct procedural service) only when appropriate to bypass medically u
Charging two initial infusions Q: A patient comes in for an infusion of a
Most coding professionals have heard modifier -59 (distinct procedural service) referred t
With drug administration services, providers likely find themselves prompted to use modifi
  Q: We are looking at hardcoding modifier -59 (distinct procedural service) to
Providers have asked many questions about how to use the –X{EPSU} modifiers due to a
Providers should look at their existing procedure charges and make sure they have built so
Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments,
JUNE 25, 2014
JUSTCODING
  Q: What happened to modifier –JF (compounded drug)? CMS added it in Apr
  Q: Our business office wants us to start using modifier -PO (services, proced
AUGUST 5, 2015
JUSTCODING
CMS proposed a new HCPCS modifier be appended to every code for a service furnished in a h
FEBRUARY 4, 2015
JUSTCODING
Q: We consistently hit an edit asking for a modifier on our drug administration service
OIG releases report on drugs commonly used by dual-eligible beneficiaries
JustCoding's Drug Administration Capture and Audit Tool provides multiple critical tools for nur
OCTOBER 23, 2019
Effective October 1, the National Practitioner Data Bank (NPDB) has lowered the rates it charges
CMS proposed that a new HCPCS modifier be appended to every code for a service furnished i
  CMS added one modifier for 2015, but will not require its use until January 1, 2
Editor's note: This is Part 2 in a three part series discussing the importance of charge nur
OCTOBER 25, 2018
CMS revises July 2015 quarterly drug code updates On July 10, CMS resci
A cardiologist practicing on Long Island, New York, has been arrested and charged with conspiracy
Providers often struggle with modifiers--even those they've had available to report for many year
DECEMBER 9, 2015
JUSTCODING
In the July quarterly I/OCE update, three drugs received status indicator G (additional pa
Q: Will CMS be adding any new drugs or biologicals to its pass-through list in i
Q: Where can I find out more about new drugs or biologicals with pass-through status be
Q: Our charge description master (CDM) manager wants to remove the code for denileukin
MAY 13, 2015
JUSTCODING
Drug diversion from federal hospitals part of nationwide epidemic of healthcare thefts
APRIL 28, 2017
APRIL 2, 2014
JUSTCODING
The U.S. Food and Drug Administration (FDA) released a safety announcement on February 2 regardin
  KX modifier amounts announced for CY19
DECEMBER 7, 2018
  Q: Did CMS add any new codes for drugs that have pass-through status this mon
Change in July 2015 update of quarterly HCPCS drug/biological code changes
Change in July 2015 update of quarterly HCPCS drug/biological code  
Join us at 1 p.m. (Eastern) Thursday, November 13, to review the big changes coming for modifier
Big changes are coming for modifier -59 (distinct procedural services) in 2015. The most u
OCTOBER 29, 2014
JUSTCODING
Join us at 1 p.m. (Eastern) Thursday, November 13, to review the big changes coming for modifier
Q: We just underwent an audit and the auditor took charges off the claim saying that th
When CMS introduced the –X {EPSU} modifiers in August 2014 to be used in specific in
Patients routinely receive multiple drug administration services during a single encounter, which
The route through which a drug is administered is essential for nurses to consider. Often, the he
OCTOBER 8, 2019
  CMS is introducing four new HCPCS modifiers to specifically define subsets of mo
SEPTEMBER 3, 2014
JUSTCODING
Q: My question is about the time interval requirement of the CPT® add-on
APRIL 2, 2014
JUSTCODING
NIOSH has released an updated list of patient-care drugs that are hazardous to the healthcare wor
SEPTEMBER 11, 2014
  Drug-induced pulmonary hypertension, metastatic melanoma
USP <800>: Protecting healthcare workers from hazardous drugs
Leadership training is an essential component to training a charge nurse. Orienting charge nurses
JANUARY 2, 2020
CMS needs to evaluate, clarify, and modify sections of the Notice of Observation Treatment and Im
Adding modifiers to CPT® codes can bypass NCCI edits for Medicare payments,
A majority of patients don’t understand the charges and information on their medical bills,
By Steven Andrews   The latest guidance from CMS on modifier
The Charge Nurse Leader Program Builder: A Competency-Based Approach for Developing Frontline Le
APRIL 28, 2016
Being a charge nurse is often as stressful as being a director. You are "charged" with
SEPTEMBER 4, 2019
CMS releases overview of Physician Feedback and Value-Based Modifier Programs
When selecting an EHR vendor, don’t forget the add-ons!
Malachi Love-Robinson, the Florida teenager arrested earlier this year on charges of impersonatin
SEPTEMBER 2, 2016
In 2014, CMS added skin substitutes to the list of packaged drugs and biologicals, dividin
Results of a new drug trial, published September 1, 2016 in Nature, are potentially the most pro
SEPTEMBER 2, 2016
CMS hopes to gain a better understanding of when and why providers use modifier -59 (disti
The latest guidance from CMS on modifier -59 (distinct procedural service)
FEBRUARY 24, 2015
Keeping compounded drugs infection-free No physician or nurse injects medicine
The price of “specialty drugs” to treat conditions like cancer and multiple sclerosis
JANUARY 13, 2015
Witnesses speaking at a Senate Aging Committee hearing reported a surge in drug prices with some
DECEMBER 29, 2015
CMS releases October 2015 quarterly update of HCPCS drug/biological code changes
How does an agency keep the drug review up to date? The regulations req
This year brings some new challenges that you have to be aware of when updating your charg
On July 13, CMS and the Food and Drug Administration [FDA] sent a
JULY 19, 2016
Hospital-owned urgent care centers are subject to modifier -PO (services, procedures and/or surge
Since charge nurses are actively engaged in activities going on in the unit every day, it makes s
JANUARY 14, 2020
Recovery Auditors have found that modifier misuse is resulting in underpayments to provide
MAY 28, 2014
JUSTCODING
MARCH 4, 2015
JUSTCODING
FEBRUARY 25, 2015
JUSTCODING
Which modifiers are you appending to procedures that were previously reported with modifier -59?
FEBRUARY 18, 2015
JUSTCODING
Providers often struggle with modifiers—even those they've had available to report for ma
Q: When a patient presents to the ED and the physician there orders a drug panel, we pe
CMS releases overview of Physician Feedback and Value-Based Modifier Programs On Feb
A Worcester (Massachusetts) area physiatrist has been indicted on charges of sexually assaulting
A Pennsylvania woman was recently accused of identity theft and other charges after reportedly c
Two teenagers were arrested and charged with arson after police say they started a fire July 14 a
JULY 16, 2015
A physician has been charged with stealing more than $175,000 worth of equipment from two hospita
MAY 6, 2016
Download this complimentary excerpt from The Charge Nurse Leader Handbook! Book Exce
DECEMBER 1, 2016
  Bill introduced to add dental, hearing, and vision services under Medicare coverage
FEBRUARY 1, 2017
Copyright statement
SEPTEMBER 4, 2008
A radiologist faces three misdemeanor charges for allegedly stealing the protected health inform
Q: When a drug representative enters a facility, he or she can easily be exposed to prote
SEPTEMBER 8, 2015
A Q&A around drug regimen review items was provided by CMS.   CMS’
Q: What if the provider states that diabetes is due to the adverse effects of a drug, but does
SEPTEMBER 17, 2014
JUSTCODING
According to CMS’ final rule, 35 OASIS items would be deleted or modified for 2019. NAHC be
A man described by officials as a transient has been charged with arson in fire that that
MAY 1, 2014
Nursing homes administer largely pointless and potentially harmful drugs to a majority of residen
SEPTEMBER 11, 2014
When preparing to administer any drug to a client, consider what is often referred to as the &quo
AUGUST 12, 2019
Medicare Shared Systems modified to capture various HIPAA-compliant fields 
OCTOBER 8, 2014
JUSTCODING
Authorities have arrested a man, Wellington Liranzo, on charges of Medicaid provider fraud
OCTOBER 23, 2014
The Bipartisan Budget Act of 2018 provides rural add-on payments for home health episodes and vis
A North Carolina jury found an ophthalmologist and hospital negligent after a sound-alike drug er
AUGUST 26, 2014
CMS pushed back the deadline for physicians to enroll to prescribe Medicare Part D drugs. Physici
In addition to extensive drug testing code changes in the CPT® Manual
Failed drug diversion programs in hospitals have led to record fines levied against facilities.
APRIL 26, 2016
Failed drug diversion programs in hospitals have led to record fines levied against facilities. P
MARCH 17, 2016
The value modifier (VM) is Medicare’s physician pay-for-performance program that rewards or
I have a question on medication reconciliation and the Level 1, 2, and 3 drug interaction
When officials at a California hospital suspected that someone was stealing drugs from anesthesia
MAY 12, 2016
By Michelle Clarke Female nurses who administer antineoplastic drugs to cancer patients d
FEBRUARY 21, 2019
Modifier Q&A in HIM Samp
APRIL 30, 2014
JUSTCODING
Modifier –L1 Q&A in
JULY 23, 2014
JUSTCODING
Q: We are seeing an increase in the number of edits we are receiving for modifier -25 (
OIG adds review of Part A claims to the 2014 LTC Work Plan
AUGUST 1, 2014
MARCH 18, 2015
JUSTCODING
Drug administration is one of the most common services provided in the outpatient setting,
APRIL 29, 2015
JUSTCODING
Q: I have a question about reporting drug tests to CMS for CPT® codes th
Although drug testing is not necessarily a fail-safe and is an added expense, having a drug testi
by Russ Nix, Aegis RX, LLC Is drug diversion a problem in the healthcare
MARCH 20, 2020
Twenty-three people—nine physicians and 14 medical workers—were charged this w
APRIL 2, 2015
Police have arrested a Staten Island man on charges that he posed as a clinical psychologist and
AUGUST 27, 2015
Some providers face a fee schedule cut of 50% for E/M services billed with modifier 25
SEPTEMBER 4, 2017
A Salisbury, Massachusetts man has been arraigned on several charges after making threats to the
OCTOBER 29, 2015
After years of research, debate, and Food and Drug Administration review, the federal agency will
SEPTEMBER 30, 2015
Who can conduct the (medication) review? The regulations require a drug
Right dose, right drug: WHO challenges hospitals to cut med errors in half
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
How do we bill for osteoporosis drugs? The home health consolidated bil
APRIL 15, 2015
JUSTCODING
Q: Did any new drugs receive pass-through status July 1?  
By Brian Ward Researchers from Oxford University announced that the drug
JUNE 18, 2020
These Occupational Health and Safety Forms provide you with all of the updates for your OSHA Health and Safety Compliance Manual.
DECEMBER 17, 2008
SEPTEMBER 24, 2014
JUSTCODING
A 26-year-old woman was arrested and charged with arson after she apparently admitted to setting
MARCH 12, 2015
Add or revisit the likelihood of arson as part of your annual hazard vulnerability analysis (HVA)
JULY 28, 2017
It’s not news to most providers that suicide and drug abuse are on the rise. However, a tri
Modifier case studies in Special
MAY 28, 2014
JUSTCODING
Q: Why do the payments for some separately payable drugs change? One week we get paid a certai
by Josh Poltilove Rural add-on payments have changed significantly for many agen
Two Massachusetts sisters faced arraignment in Middlesex Superior Court earlier this week, charg
A 65-year-old man was charged after he apparently threatened to take a gun and shoot everyone at
FEBRUARY 25, 2015
Quarterly ASP Medicare Part B drug pricing files released On April 25,
Due to possible health risks, the U.S. Food and Drug Administration (FDA) recently proposed a ban
MARCH 24, 2016
M2001 (Drug regimen review) is among the most time-consuming items currently on the OASIS, surpa
 The U.S. Food and Drug Administration gave market clearance to an extended-release opioid,
NOVEMBER 21, 2014
Q: Did CMS make any changes to drug payments for April?  
Adverse drug events (ADE) make up an overwhelming number of healthcare-acquired conditions (HAC),
MAY 13, 2015
On February 24, the U.S. Senate voted to confirm Robert Califf, MD, as the new Food and Drug Admi
MARCH 1, 2016
A new study has found that physicians can be swayed to prescribe new prescription drugs for pharm
The quality measure “drug regimen review conducted with follow-up for identified issues&rdq
This year promises to be even more challenging than last as surveyors add in new expectations on
MARCH 1, 2018
Drug diversion in healthcare facilities has been a subject of increasing focus by regulatory aut
SEPTEMBER 20, 2017
Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) Fi
A provision in CMS’ new rule to modify or eliminate unnecessary regulations will ease requ
SEPTEMBER 3, 2014
JUSTCODING
SEPTEMBER 3, 2014
JUSTCODING
A pilot group of medical schools have been modifying their curriculums to test the impleme
OCTOBER 10, 2014
Use of modifiers -KK, -KG, -KU, and -KW limited under the DMEPOS Competitive Bidding Pr
The ACGME announced this week that more time is needed before making any decision on modifying re
MAY 20, 2016
CMS releases directions on the off-label/modified use of waived blood glucose monitorin
As the person in charge of emergency preparation at your hospital, you should anticipate the dang
JULY 31, 2014
  Following the arrest of a Tucson man on charges of practicing medicine without a
JULY 10, 2014
Community groups charged with reducing avoidable hospital readmissions are making little progress
FEBRUARY 10, 2015
One of the fundamental purposes/charges of any high-reliability organization/program, etc., is to
JUNE 23, 2016
Editor’s note: The following is an excerpt from the new HCPro book, Drug Diversion in H
DECEMBER 29, 2016
What is RSS synopsis
SEPTEMBER 4, 2008
For the last several years, CMS has updated the payment rates for separately payable drugs
Anticoagulant drugs remain one of the top safety concerns for hospitals around the country
APRIL 2, 2014
Patients often go online to find diagnoses, drug information, and details about their physicians
Drug dosage errors as a result of confusion when healthcare providers incorrectly convert patient
MAY 5, 2015
When should you give a prescription to a patient? Prescription drug abuse has been on the
FEBRUARY 23, 2016
On February 19, the Food and Drug Administration (FDA) announced that reprocessing instructions f
FEBRUARY 24, 2016
Q: Did CMS issue any new HCPCS codes for drugs and biologicals for April 2014?
In an effort to reduce the number of medication errors and dangerous drug interactions, Children&
JUNE 13, 2014
The Food and Drug Administration (FDA) this week issued warning letters to three makers of duoden
AUGUST 19, 2015
The Food and Drug Administration (FDA) this week issued warning letters to three makers of duoden
AUGUST 18, 2015
Despite the growing number of online prescription drug databases that aim to counter the misuse o
Representative Kathy Castor (D-Fla.) introduced legislation that would add federal support for an
MARCH 18, 2016
MARCH 25, 2015
JUSTCODING
MARCH 9, 2017
Q: I am a coder in a hospital outpatient setting. Our physicians document drug use in s
JULY 22, 2015
JUSTCODING
If you’re in charge of emergency management at your facility, you’ve probably done a
MARCH 5, 2015
CMS last week proposed revisions that would add recognition of same-sex spouses to the Condition
A 76-year-old man infected with a drug-resistant “superbug” at a Los Angeles hospita
The Food and Drug Administration is asking manufacturers to submit additional data about medical
APRIL 30, 2015
Residents are more likely to prescribe a costly brand-name cholesterol-lowering drug if they are
JULY 24, 2015
The Centers for Disease Control (CDC) and the U.S. Food and Drug Administration (FDA) issued a he
SEPTEMBER 16, 2015
In the wake of recent outbreaks related to contaminated devices, the Food and Drug Administration
SEPTEMBER 23, 2015
In the wake of recent outbreaks related to contaminated devices, the Food and Drug Administration
SEPTEMBER 22, 2015
On Monday, the U.S. Food and Drug Administration (FDA) proposed banning most powdered gloves in
MARCH 24, 2016
CMS releases July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files
Last year was a bad year to be a duodenoscope manufacturer. In February 2015, the Food and Drug A
JANUARY 19, 2016
Directions on the off-label/modified use of waived blood glucose monitoring systems (BG
Modify the Triage by Resource Allocation for IN-patient (TRAIN) matrix to suit your facil
JANUARY 1, 2019
Modify the Triage by Resource Allocation for IN-patient (TRAIN) matrix to suit your facility&rsqu
JANUARY 1, 2019
Doctors and drug czars ask for chronic pain guidelines to be relaxed By Brian
Physician Feedback, Quality and Resource Use Reports (QRURs) and Value-Based Modifier P
Determining E/M levels can be difficult in any circumstance, but ED cases can add further complic
Research has shown that restrictive diets add little benefit for older adults in long-term care,
AUGUST 29, 2014
On April 16, CMS posted a proposed decision memorandum stating evidence is sufficient to add Huma
SEPTEMBER 9, 2015
At least two U.S. states are considering laws that would modify Maintenance of Certification (MOC
The Centers for Disease Prevention and Control (CDC) and the Food and Drug Administration (FDA) h
FEBRUARY 9, 2016
Medication errors or adverse drug interactions are a major cause of hospital readmissions.
For the second time in less than six months, the Food and Drug Administration (FDA) is being ques
MARCH 22, 2016
JANUARY 7, 2015
JUSTCODING
JANUARY 14, 2015
JUSTCODING
JANUARY 21, 2015
JUSTCODING
JANUARY 28, 2015
JUSTCODING
The U.S. Food and Drug Administration announced new actions to enhance the safety of reusable med
The U.S. Food and Drug Administration announced new actions to enhance the safety of reusable med
MARCH 18, 2015
On February 19, the Food and Drug Administration (FDA) announced that
FEBRUARY 23, 2016
Use of Modifiers -KK, -KG, -KU, and- KW under the Durable Medical Equipment, Prosthetic
Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, O
DECEMBER 23, 2014
JUSTCODING
Q: Is it correct to append modifier -52 (reduced services) to a procedure code when the
FEBRUARY 4, 2015
JUSTCODING
One of your most crucial roles as the person in charge of emergency preparation at your hospital
JULY 16, 2015
Directions on the off-label/modified use of waived blood glucose monitoring systems (BG
Blogs from industry experts in healthcare that keep users up-to-date on the latest happenings in their fields.
One university is offering an MBA program for residents who want to add business education to the
APRIL 25, 2014
A new nationwide study confirms that patients believe physician assistants (PA) add value to hea
  Some U.S. lawmakers want to add 2,000 residency positions at Veterans Health Adm
JUNE 27, 2014