Railroad Medicare covers certain supplies if you have Medicare Part B and have diabetes. These supplies include:• Blood glucose self-testing equipment and supplies• Therapeutic shoes and inserts• Insulin pumps and the insulin used in the pumpsBlood Glucose Self-testing Equipment and SuppliesBlood glucose self-testing equipment and supplies are covered for all people with Medicare Part B…
Code Description HCPCS Q2043 Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GMCSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge®) Cellular Immunotherapy for Prostate Cancer Immunotherapy is a way to fight disease, even cancer, by using a person’s own immune system. Dendritic cells are part of the immune system. They…
Desk and Site Reviews All new IDTF applications shall receive (1) a thorough desk review, and (2) a mandatory site review prior to the contractor’s enrollment of the applicant and issuance of a billing number. The general purpose of both reviews is to determine whether the information listed on Attachment 2 of the CMS-855B is…
View the Centers for Medicare & Medicaid Services (CMS) Announcement about Medicare Participation for Calendar Year 2015. Why participate?Medicare fee schedule amounts are 5% higher if you participate.Included in the Medicare Participating Directory (MEDPARD).Participants have “one stop” billing for beneficiaries who also have Medigap coverage and who assign their Medigap payments to the participant. When…
CMS-855I is to be used by Physicians and non-physician practitioners (including clinical psychologists) — Complete this application if you are an individual practitioner who plans to bill Medicare and you are: • An individual practitioner who will provide services in a private setting.• An individual practitioner who will provide services in a group setting. If…
Code Description CPT 20999 Unlisted procedure, musculoskeletal system, general 38206 Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous 38241 Hematopoietic progenitor cell (HPC); autologous transplantation Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow) Mesenchymal stem cells are adult stem cells which are usually found in…
The Physician Quality Reporting System (PQRS) is a program that promotes the reporting of quality information by eligible professionals (EPs) and group practices. Participation in PQRS is at the individual National Provider Identifier (NPI) level within a Tax Identification Number (TIN). EPs who worked for more than one organization during the 2013 PQRS program year…
Summary The Centers for Medicare & Medicaid Services (CMS) recently updated frequently-asked questions and answers for health care providers and billing houses participating in testing programs for the upcoming transition to the International Classification of Diseases, 10th Edition (ICD-10). Health care providers and billing agencies who participate in acknowledgement testing and who are selected to…
First Coast Service Options Inc. has revised local coverage determinations (LCDs) impacted by the 2015 Healthcare Common Procedure Coding System (HCPCS) annual update. Procedure codes have been added, revised, replaced and deleted accordingly: LCD Title Changes Allergy Testing Descriptor change for CPT® code 84600 Deleted HCPCS codes G0461 and G0462 Added CPT® codes 88341, 88342,…
