Medicare CPT Codes 2013 | Medicare About Health

Medicare CPT Codes 2013 (pdf download)

Medicare Screening Services 2013
Although Medicare does not cover comprehensive preventive visits such as
those reported with CPT-4 codes. 99381-99397, effective January 1, 2011,
Medicare …

2013 CPT Coding Update now available [.pdf] – American Society for …
New CPT and HCPCS codes for reporting preparation of fecal microbiota. …..
calendar year (CY) 2013, CMS has assigned CPT codes 99487, 99488 and
99489.

2013 CPT® Code Sheet – ITC
System. 2013 CPT® Code Sheet. Coding and Billing. Product Description CLIA
Status. CPT. Code. Modifier. Codes. CPT Quantity for 85576. 2013 Medicare …

http://www.immunize.org/catg.d/p4072.pdf
Influenza Vaccine Products for the 2013–2014 Influenza Season
Product Code. CSL Limited. Afluria (IIV3). 0.5 mL (single-dose syringe). 0. 9
years & older2. 90656. 5.0 mL (multi-dose vial). 24.5. 90658. Q2035 (Medicare).

http://www.aafp.org/dam/AAFP/documents/practice_management/payment/TCMFAQ.pdf
Frequently Asked Questions about Transitional Care Management
A2: There are two CPT codes that may be used to report TCM, effective …. the
Webinar, “What’s new in Medicare and Medicaid payment in 2013” hosted on …

http://www.idsociety.org/uploadedFiles/IDSA/Manage_Your_Practice/Billing_and_Coding/Evaluation_and_Management_Coding_Resources/IDSA%20Billing%20Coding%20Updates%20Webinar%202013.pdf
BILLING AND CODING UPDATE 2013
CPT Coding Update 2013 … “Throughout the CPT code set the use of terms such
as ‘physician,’ ‘qualified … Still awaiting further instructions from Medicare.

http://www.ngsmedicare.com/ngs/wcm/connect/6614a4804f73c1eeb417f64914797481/MMR_May_2013-05_Final.pdf?MOD=AJPERES&CACHEID=6614a4804f73c1eeb417f64914797481
May 2013 Medicare Monthly Review – National Government Services
May 5, 2013 … April Update to the CY 2013 Medicare Physician Fee Schedule …. Article
published May 2013: CPT codes 64553 and 64585 removed from the …

http://www.upmc.com/healthcare-professionals/physicians/Documents/2013-fee-schedule.pdf
2013 Medicare Clinical Laboratory Fee Schedule – UPMC.com
2013 Medicare Clinical Laboratory Fee Schedule. HCPCS Code Modifier
National Limit. Mid Point. Floor. PA. Description. 36415. $0.00. $3.00. $0.00.
$3.00.

http://www.peacehealthlabs.org/publications/Medicare%20Coverage%20Policies/Medicare%20Coverage%20Policies%20-%20COMPLETE%20MANUAL.pdf
Medicare Coverage Policies May 2013 update – PeaceHealth …
determine whether it is necessary to have Medicare patients sign an … For each
policy, you will see its CPT code(s) listed below the heading area and the ICD-9.

http://cdn.freedomoutpost.com/wp-content/uploads/2013/11/2013-ARHPC_ICD-9-CM.pdf
2013 CPT®, HCPCS II and ICD-9-CM Coding … – Freedom Outpost
CPT definitions versus Medicare and various 3rd party payers. •. “Separate
procedures” and unlisted procedures. Pertinent Surgical Coding Concepts.

http://www.carefusion.com/pdf/Interventional_Specialties/Vertebral_Augmentation_Reimbursement_Guide_IS1316.pdf
2013 coding and payment information – CareFusion
… are Medicare national payments for 2013 and do not reflect actual …. CPT®
code. Description. APC. 2013 national payment. Status indicator. Vertebroplasty.

http://www.ethicon.com/sites/default/files/13-0030-Upper-GI-Reimbursement-Fact-Sheet.pdf
2013 Upper GI / ColonoscopyReimbursement Fact Sheet – Ethicon
NATIONAL AVERAGE MEDICARE … Level II Upper GI Procedures (CPT codes:
43250, 43251, 43255, 43258, 43259). $927 … 2013 Ethicon All rights reserved.

http://www.practicemax.com/wp-content/themes/PracticeMax/resources/newsletters/November%20news%20112012.pdf
2013 CPT® Code Changes Cod ing & Billin g Anno u … – PracticeMax
PracticeMax can help your practice transition to the 2013 CPT codes. Following
are just some of … ment (99495-99496, as an alternative to a Medicare G- code).

http://tools.medicine.yale.edu/billingcompliance/files/Medicare%20Monthly/Medicare%20Monthly%202013.08.pdf
Medicare Monthly Review (MMR) August 2013-08 – Yale School of …
Oct 1, 2013 … Add-on HCPCS/CPT Codes Without Primary Codes (SE1320) … 2013 Medicare
Physician Fee Schedule Database (MPFSDB)” and Transmittal …

http://www.doh.wa.gov/portals/1/Documents/Pubs/681018.pdf
CLIA Waived Tests and CPT Codes
Sep 16, 2013 … DOH 681-018 January 2013 ….. *Drug Screen CPT Code Update: 80101QW has
been replaced by code Q0434QW. …… Medicare carrier.

https://www.ubhonline.com/html/pdf/cptChangesDeckDec2012.pdf
2013 CPT Code Changes – Provider Express
Dec 3, 2012 … CPT Code Development. • CPT … Current coding structure doesn’t allow for
accurate description of … APA Current CPT Code Changes 2013.

http://www.kchealthcare.com/media/11116865/h0009_1201_pain_rates.pdf
2013 MEDICARE PAYMENTS foR PAIN MANAGEMENT …
2013 MEDICARE PAYMENTS foR PAIN MANAGEMENT PRoCEDURES1. (
Effective 1/7/13). CPT CODE. DESCRIPTION. PHYSICIAN. IN-OFFICE.
PHYSICIAN.

http://www.healthandwelfare.idaho.gov/Portals/0/Providers/Medicaid/MA13-01%20.pdf
MA13-01 – Health and Welfare
Jan 29, 2013 … This updated release contains the 2013 CPT code and rate changes for … for non
-primary care services at 90 percent of the Medicare rate.

http://www.clslaboratory.com/Files/BillingHandbook/Billing_Guide_CLS.pdf
2013 Billing Guide – CLS
Apr 1, 2013 … 29-30. Medicare NCD & LCD Listings . 31-105. Common ICD-9 Codes … . 106-
108. CLS 2013 BILLING GUIDE: TABLE OF CONTENTS …

http://www.magellanprovider.com/MHS/MGL/getpaid/HIPAA/cptcodechanges-FAQ.pdf
2013 CPT® Codes Changes Background and Frequently Asked …
Apr 19, 2013 … the Centers for Medicare and Medicaid Services (CMS) on an annual basis … on
or after January 1, 2013 that includes the old CPT codes will.

National Association of Community Health Centers: Center Manager …

Type: Other Administrative Positions
Posted: April 02, 2014
Region: FLORIDA

Job Description

Supporting the COO in providing managerial leadership to the Center that contributes to the implementation of the mission and strategic plan.

Provides leadership as the Manager of a Community Health Center.

Maintains knowledge of, adheres to, and enforces corporate policies and procedures.

Seeks guidance and assistance from COO and appropriate internal resources, such as Human resources and Finance.

Provides supervision, training, and evaluation of all staff within the center in collaboration with COO and other management personnel.

Responsible for granting center employee PTO requests.

In conjunction with COO, hires, promotes, disciplines, and terminates staff within reporting departments in accordance with legal requirements and corporate policies and procedures.

Schedule personnel on a weekly basis, evaluate need for overtime and insure proper coverage. Fills in for any of the supervised positions in the absence of or shortage of staff where appropriate.

Assists COO in ensuring Center adherence to regulatory and grant requirements.

Receives and resolves as appropriate staff and patient concerns, and/or problems; applies appropriate problem solving strategies/techniques.

High School Diploma and two years business training at college level or accredited business school.
Years of experience can be substituted on a year-by-year basis for academic training.

Bachelor’s degree in healthcare administration or relevant degree preferred.

Experience:
2-5 yrs direct supervisory and management experience in a healthcare facility.
Minimum of five years experience in health care setting.

Special Skills:
Must have knowledge of current CPT and ICD-9 coding.

Must understand the billing procedures for Medicare/Medicaid, Workers Compensation, HMOs, PPOs and other managed care and commercial insurance plans.

Working knowledge of computerized medical office software required: knowledge of eClinical Works software preferred.

Ability to read, understand and follow oral and written instructions. Two to five years direct supervisory experience in a similar setting.

Bilingual capability helpful; must have good interpersonal skills; must have flexibility and ability to juggle many obligations and set priorities.

Strong leadership and organizational skills.

Able to work flexible hours as needed.

 

Organization

Community Health Centers, Inc
110 S. Main Street

Winter Garden, Florida 34787
Fax:
Phone: 407-905-8827

 

Contact Information:
Sophia Medina, Employee Relations Manager
s.medina@chcfl.org
407-905-8827 x1072

2014 Update for Insurance and Coding Specialist Programs, Test …

NCCT is an independent certification organization that has tested more than 380,000 individuals throughout the United States since 1989 for competency in these roles: Medical Assistant, Phlebotomy Technician, Insurance and Coding Specialist, Medical Office Assistant, Patient Care Technician, ECG Technician, Tech in Surgery – Certified (NCCT), and Certified Postsecondary Instructor®.

Four Things to Know About ICD-10 and Prior Authorization …

When most practices think about the shift from ICD-9 to ICD-10, they think of changes to physician documentation, diagnosis code selection, and software upgrades. But ICD-10 is going to have a big impact on the pre-authorization process too. Here’s why, and what to do about it.

Looking for more information on preparing your practice for the ICD-10 transition? Learn what to expect and how to be ready for Oct. 1 from our experts at Practice Rx, a new conference for physicians and office administrators. Join us May 2 & 3 in Newport Beach, Calif.

1. ICD10 training and testing must be completed at least one month prior to Oct. 1.

Unlike pre-certification, which is performed by phone or Internet with a payer, and completed a few days or weeks before a procedure, pre-authorization (also known as prior authorization), is a written process. Prior authorization involves the physician writing a letter to the payer, requesting written approval for the procedure. This written approval can take weeks to months to obtain.

That means procedural specialties must be trained and have all their ICD-10 transition tasks completed weeks, if not months, before Oct.1.

“Don’t assume you have until Oct. 1 to master the new system,” warns Kim Pollock, RN, MBA, CPC, and senior consultant with KarenZupko & Associates. “If prior authorization is typically done at least three or four weeks ahead of a procedure in your office, staff must begin sending authorization letters using ICD-10 codes in early September at the latest. If your procedure schedule is booked months in advance, your practice may need to begin pre-authorizing in ICD-10 as early this summer.”

Action: Review training schedules and set deadlines that ensure all staff are trained well in advance of Oct. 1 for any procedures needing pre-authorizations scheduled for Oct. 1 and beyond. Develop and implement new pre-authorization planning forms and processes, and test them; especially if your procedures are scheduled months in advance. Call payers and verify that if you are pre-authorizing a case in August, for a procedure date of Oct. 5, that they are ready to receive the diagnosis codes in ICD-10.

“A coding manager recently told me that a Blues plan instructed her to pre-certify procedures in ICD-9, then submit the claim in ICD-10, because the procedure date was after Oct. 1,” relays Pollock. “Payers are likely to have varying policies; be sure you clarify them several months in advance of Oct. 1.”

2. Prior authorization will require new “letter templates.”

Most physicians have a standard method for dictating their prior authorization letters, based on “letter templates” or a checklist of components that they dictate to justify medical necessity. “Because ICD-10 is the new language of medical necessity for most payers, the prompters that physicians use will need to change,” says Pollock.

It’s old news that doctors must change the way they document in the medical record, in order to provide the granular detail required for ICD-10 code selection. This same level of granularity will be needed for prior authorization letters. Simply put, physicians must know ICD-10 well enough to provide staff the right details for pre-authorization. “For instance, they will need to dictate laterality, sequela, and use the new terminology in ICD-10,” explains Pollock.

Action: Prepare physicians for this change now. “Review existing letter templates and dictation prompters as part of ICD-10 training,” Pollock recommends. “As you review your code crosswalks, take note of where additional detail will be needed.” For example, laterality and new combination codes will require physicians to dictate new information. And some specialists — orthopaedists, for instance — will need to use classification systems that many haven’t used since residency, such as the one for fractures.

Sick of ObamaCare? Wait 'til you get a load of ICD-10. |

News headlines have focused on the bureaucratic mandatesfinancial looniness, and unlikely assumptions that seem designed to drive medical providers away from the Affordable Care Act or out of business entirely. But this year, a non-Obamacare bureaucratic car bomb is set to explode in the medical world in the form of ICD-10—a new coding system for patient diagnoses and inpatient procedures. Mandated by the Centers for Medicare & Medicaid Services, the coding system standardizes communications among providers and insurers. Well, it standardizes them more, since ICD-9 has been in place for 30 years. Uncertainty over hitches in replacing the old coding system with a brand new one has industry experts advising practices to keep several months worth of cash on hand to cover lags in reimbursement. Practices lacking that much liquidity under the mattress may be truly screwed.

Theoretically, the new coding system covers inpatient care involving Medicare, Medicaid, and “everyone covered by the Health Insurance Portability Accountability Act.” The government says up and down that the new codes aren’t really necessary for private practices providing outpatient care. A handy FAQ insists:

Will ICD-10 replace Current Procedural Terminology (CPT) procedure coding?

No. The switch to ICD-10 does not affect CPT coding for outpatient procedures. Like ICD-9 procedure codes, ICD-10-PCS codes are for hospital inpatient procedures only.

But as EHRIntelligence points out, “While it’s true that CPT/HCPCS codes will continue to be the gold standard for outpatient procedures, providers will be required to include ICD-10 diagnostic codes with their claims in order to receive reimbursements from payers.”

So, if doctors want to be compensated by anybody other than cash-only patients, they need to adopt the new codes, too.

The problem is that glitches are anticipated in switchover to the new coding system, since nobody is allowed to use it before October 1, 2014, and everybody is required to use it after that day. That’s right, another government-mandated healthcare industry hard launch, exactly one year after Healthcare.gov debuted.

Actually, ICD-10 and Healthcare.gov were originally scheduled to launch on the same day in 2013. That would have been fun.

The Healthcare Billing & Management Association warns that “it is possible that not all payors will be ready for ICD-10 on October 1, 2014,” so “it will be important that you are able to submit in both ICD-9 and ICD-10 formats.” The group further recommends that practices “establish a line of credit to tide the office over during the first months following the implementation of ICD-10″ to acommodate reimbursement delays.

The CMS itself notes in its Implementation Guide for Small and Medium Practices:

The transition to ICD-10 will result in changes to physician reimbursements. … [C]hallenges with billing productivity combined with potential payer claim processing challenges may result in signicant impact to cash flow. This may require the need for reserve funds or lines of credit to offset cash flow challenges.

According to HealthcareITNews:

Healthcare providers may face disruptions in their payments even if they are on target to operate using ICD-10 codes on Oct. 1, 2014. 

Since providers will, and indeed need, to be able to pay rent and staff salaries if the transition does not flow as smoothly as testing has indicated, experts advise having up to several months’ cash reserves or access to cash through a loan or line of credit to avoid potential headaches.

“Just figure that with the transition to ICD-10 there will be delays in reimbursement,” said April Arzate, vice president of client services at MediGain, a Dallas-based revenue cycle and healthcare analytics company.

Arzate recommends keeping enough cash on hand to cover medical supplies, payroll, rent, and the rest of a medical practice’s overhead for three to six months.

separate document on risk-mitigation strategies for implementing ICD-10, prepared by the Healthcare Information and Management Systems Society, specifies a “minimum of six months of cash reserves to mitigate revenue impacts over the ICD-10 transformation period.”

Lines of credit might step in where available cash is short, but banks issue lines of credit to good risks—not medical practices already struggling in an uncertain regulatory environment.

If you’re a doctor, now is a good time to look at your cash flow, or your retirement options. If you’re a patient, you might just consider buying your favorite doc a good-bye drink.

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Mayfield Hts Coder III Job – OH, 44124 – Jobs at Cleveland Clinic

HIM Coder III

CCHS Employees Only
Reference Title
HR Use Only: Coder III
Hospital: Main Campus Non-Exempt
Facility: Hillcrest Hospital
Department: Him Coding
Job Code: U99927
Pay Grade: 12
Schedule: Full Time
Shift: Days
Hours: 8:00 am – 4:30pm
Job Details:

Identifies, reviews, and assigns complex ICD-9-CM / ICD-10-CM / PCS codes, POA indicators and PSI indicators, surgical complications. Identifies, reviews, and assigns complex ICD-9-CMICD-10-CM and CPT codes, and abstracts clinical information from inpatient/outpatient types. Utilizing established complex coding principles and protocols, identifies, reviews, and assigns ICD-9-CM/ICD-10-CM and CPT-4 codes, and abstracts complex clinical information. All coding and abstracting is for the purpose of reimbursements, research, and compliance with federal regulations and other agencies utilizing established coding principles and protocols.Clarifies complex discrepancies in documentation and coding; assures accuracy and timeliness of coding/abstracting assignments to expedite the billing process and to facilitate data retrieval for physician access and ongoing patient care. Performs follow-up complex coding of medical records as a result of internal or external reviews which have identified Coding or DRG discrepancies. Supports special studies in relation to coding and abstracting information according to policies and procedures Maintains knowledge and skills; reads current coding resources clinical information, videos, etc. Meets or exceeds productivity and quality standards and established department benchmarks. Extracts pertinent information from clinical notes, operative notes, radiology reports, laboratory reports, (including Pathology), procedure records, specialty forms, etc. Determines complex code assignment pertinent to diagnostic workups, surgical techniques, advanced technology and special services, identifies medical and surgical complications and untoward events for accurate MS-DRG / APR-DRG or APC assignment. Performs other duties as assigned.

EDUCATION: Associate’s Degree in Health Information Technology from a Commission on Accreditation for Health Informatics and Information Management (CAHIIM) Health Information Management program or Bachelor’s degree (CAHIM) in Health Information Management or related field.

LICENSURE/CERTIFICATION/REGISTRATION: Individuals with an Associate s Degree in Health Information Management must be a Registered Health Information Technician (RHIT). Individuals with a Bachelor’s Degree in Health Information Management must be a Registered Health Information Administrator (RHIA). Certified Coding Specialist (CCS) is preferred.

COMPLEXITY OF WORK: Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision. Must be able to work in a stressful environment and take appropriate action.

REQUIRED EXPERIENCE: A minimum of three years of experience in the application of ICD-9-CM/ICD-10-CM and CPT-4 coding, recoding and interpreting clinical data from medical records. Must have in-depth knowledge of human anatomy and physiology, disease processes, medical terminology, organization of the medical record, and the medical record coding systems.

PHYSICAL REQUIREMENTS: Physical demands require standing, walking, sitting, lifting, carrying up to 25 lbs. Close, distant, and color vision is required. Requires manual dexterity to grasp and handle records and to operate a PC computer in the course of work. The work environment is at a moderate noise level (business office with phones, copiers, computers, and printers).

Category: Finance/Information Systems

ICD-10 Readiness: 15 Questions to Ask Your Health IT Vendors …

Is your practice ready for the transition to ICD-10 on Oct. 1, 2014? More importantly, are your EHR and practice management system vendors ready?

If they are telling you “yes,” how do you really know if they are ready or not? What does “yes” really mean?

Have they shared any ICD-10 development plans and product release dates with you yet?

Have they shown you what ICD-10 looks like and how it will work in their EHR and practice management software?

Your EHR and practice management system vendors are probably the most important vendors in the ICD-9 to ICD-10 transition, along with clearinghouses and payers, because they all can positively or negatively impact the cash flow of your practice.

Are you willing to risk your practice’s reputation and cash flow on a simple “yes” answer without getting “yes” defined? This is critically important. Believe it or not, ICD-10 is not that complicated; that is if you are prepared. It’s all about proper documentation and coding so your practice can get paid accurately and promptly.

So what should you do? How do you know that your current EHR and practice management system vendors are really ready for the big transition? And what are they going to do to ensure that your practice is ready before the deadline?

Here is a list of 15 questions to ask your EHR and practice management system vendors regarding their ICD-10 readiness.

1. What date will your EHR and practice management solutions include ICD-10 coding for me to test?

2. Will both your EHR and practice management system solutions be able to support ICD-10?

3. When will you be able to show me how ICD-10 will work in my EHR and practice management  solutions?

4. Is your software going to run on the same platform and database that we are currently using or is a new one going to be used?

5. Am I going to be able to use the same templates and content that I currently have or will I need to re-customize them all for the new ICD-10 compliant software?

6. When can I begin testing your ICD-10-compliant EHR and practice management systems?

7. When will your ICD-10-compliant EHR and practice management system be released to me?

8. Will your EHR and practice management systems support both ICD-9 and ICD-10 codes?

9. Will I be able to search for ICD-9 and ICD-10 codes in your ICD-10 compliant systems?

10. Will you help me test my ICD-10 compliant EHR and practice management system with my payers?

11. How much will you charge to upgrade to the new ICD-10-compliant solution?

12. Will I need new hardware to accommodate your ICD-10 upgrade?

13. What tools, training, and support will you provide to me and my staff so we can prepare our practice for ICD-10?

14. Will support for my current products be discontinued after Oct. 1, 2014?

15. Do you know when most payers will begin accepting ICD-10 codes for pre-authorizations for dates of service that will take place after Oct. 1, 2014?

If you have not already done so, you should contact your EHR and practice management system vendors and get “yes” defined. If they do not respond in a timely manner or if the responses you receive back are vague, then they are simply not prepared.

You will need to decide if you want to wait on them to get ready, putting your practice’s reputation and cash flow at risk, or if now is the time to find other EHR and practice management system vendors that are completely transparent about their ICD-10 readiness and more importantly, prepared to help your practice through a successful transition to ICD-10.

Samuel S. Ambrose is chief marketing officer and vice president of sales for Pulse Systems, providers of electronic healthcare management solutions for physicians. E-mail him here.