Clinical Resources Articles
Updates about coding and reimbursement, new practice guidelines, and telemedicine

Reimbursement resources: Learn about Medicare NCD and LCD policies

The Centers for Medicare and Medicaid Services (CMS) establishes national coverage determination (NCDs) policies for items and services furnished through Medicare. CMS awards geographical jurisdictions to private health care insurers called Medicare Administrative Contractors (MACs), which develop Local Coverage Determination (LCD) policies and process [...]

2019-01-04T21:22:39+00:00January 4th, 2019|Clinical Resources|

MIPS 2018 submission period now open

The Centers for Medicare & Medicaid Services (CMS) officially opened the data submission period for the Merit-based Incentive Payment System (MIPS) on Jan. 2 for eligible clinicians who participated in Year 2 of the Quality Payment Program. However, the following two exceptions for data [...]

2019-01-04T21:06:24+00:00January 4th, 2019|Clinical Resources|

AASM comments on CMS Competitive Bidding Program proposal

The AASM submitted a comment letter to the Centers for Medicare & Medicaid Services (CMS) in response to the proposed addition of three classes of ventilators to the Durable Medical Equipment, Prosthetics, Orthotics, & Supplies (DMEPOS) Competitive Bidding Program. CMS proposes adding the following [...]

2018-12-20T16:42:59+00:00December 20th, 2018|Clinical Resources|

Physician Compare preview period ends Dec. 31

All eligible clinicians participating in the Quality Payment Program (QPP) have until Dec. 31 at 8 p.m. Eastern Standard Time to review their 2017 QPP performance information, which will be reported on the Physician Compare website. The Centers for Medicare & Medicaid Services (CMS) [...]

2018-12-14T16:25:47+00:00December 14th, 2018|Clinical Resources|

Coding FAQ: Billing for telemedicine services in sleep medicine

Question: Can we bill for telemedicine services in sleep medicine (consults, follow-up encounters)? What is the code for that? Answer: Coverage of telemedicine services is payer specific. Providers should contact private payers directly for information regarding coverage of telemedicine services. Medicare covers services provided [...]

2018-12-08T05:34:31+00:00December 8th, 2018|Clinical Resources|