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    2015-16 Proper Coding of Sanofi Pastuer Products

    Effective July 1, 2015 through June 30, 2016. Visit the … for additional coding and
    billing resources for Sanofi Pasteur products. Do you have questions on
    coverage and payment … Q2038 (Medicare) …. e When tetanus products are
    given as treatment for woundcare, use a primary ICD-9 or ICD-10 code which
    describes the …

    Alternate Health Care Facilities and Coding Guidelines – Cengage …

    2016 Cengage Learning®. … Coding guidelines for alternate health care settings
    were established by the Centers for Medicare & … Medicare authorizes hospice
    as “periods of care,” and a hospice patient is eligible for two 90-day periods ….
    rehabilitation (e.g., physical therapy, speech therapy), and wound care services.

    Presentation Part 1

    Sep 24, 2015 … 2016 Official ICD-10-PCS Coding Guidelines [PDF, 176KB]. • 2016 …. ointment
    applied to lacerations and dressing placed over left eye. Patient …


    management. With over 20 years of experience as a health care consultant, she
    has worked … Module I — E/M Services and Medicare's Documentation
    Guidelines. Module II … 2016 CPT and ICD-10-CM code changes affecting Ob/
    Gyn practices. ….. 11, 2016. Coding for Wound Repair: Post-Operative and

    Derm Coding Consult – American Academy of Dermatology

    Date is October 1st, 2015. The Centers for Medicare and Medicaid Services (
    CMS) … standing of ICD-10-CM coding guidelines and code selection. … care
    Administrative Contractor (MAC) and can be …. Coding & Reimbursement Task
    Force 2015-2016. Name ….. the wound was closed in layers using 5-0 Monocryl
    and 6-0 …

    Medicare Hospital Outpatient Prospective Payment System

    Jul 8, 2015 … Medicare Program: Hospital Outpatient … (ASC) payment system for CY 2016 to
    …. CED Coverage with Evidence Development … NPWT Negative Pressure
    Wound Therapy …. A. Proposed OPPS Treatment of New CPT.

    2016 OPPS Proposed Rule Summary

    Jul 1, 2015 … CMS has proposed to increase CY 2016 OPPS payments by 1.9 percent. This is
    based on …. Proposed Separately Payable APC 5631 Codes.

    comments – American Academy of Neurology

    Sep 2, 2015 … Physician Fee Schedule and Other Revisions to Part B for CY 2016 … Medicare &
    Medicaid Services (CMS) regarding the Proposed Rule entitled … Payment
    Accuracy for Primary Care and Care Management Services … The AAN supports
    CMS' proposal to create add-on codes to recognize and reimburse.

    Medicare Code Request for 2016 – American Telemedicine …

    Dec 31, 2014 … added to the approved list of telehealth related services for 2016 and … of
    neurologist coverage, and many of the programs include the use of telemedicine.
    … CMS to add the codes 99291 and 99292 for critical care to the list of approved
    Medicare ….. as urgent dermatological problems and wound care.

    July 2015 J11 Home Health and Hospice (HHH) Medicare Advisory

    Jul 9, 2015 … The J11 HHH Medicare Advisory contains coverage, billing and … shared with all
    health care practitioners and managerial members of the provider staff. …
    Quarterly Update of HCPCS Codes Used for Home Health …. January 1, 2016 …..
    HCPCS 97607 – Negative pressure wound therapy, (e.g., vacuum …

    Medicare Advantage Medical Policy Update – Premera Blue Cross

    New Medical Policy and Criteria: Effective Feb. 1, 2016. • Urine Drug Testing in
    Substance Abuse Monitoring: Policy to … Anesthesia Care with Diagnostic
    Endoscopy (prior authorization required). … Removal of CPT K1848; language
    revisions and updates … Wound Therapy: Skin Substitutes (prior authorization

    DALVANCE Coding and Billing Reference Guide

    Oct 1, 2015 … Effective January 1, 2016,. DALVANCE will … Hospital inpatient. As of January 1,
    2015, Medicare and other payors … performed in a specific setting of care; for
    other services … 958.3: Posttraumatic wound infection, not elsewhere …. Laws,
    regulations, and policies concerning reimbursement are complex …

    Medicare Monthly Review (MMR) January 2015-01

    Jan 1, 2015 … Codes are Re-Coded by Medicare Systems (MM8950 Revised). 97. Home
    Health Prospective … Biologic Products for Wound Treatment and Surgical
    Interventions (L26003) ….. Standards has been revised to January 1, 2016.

    Medical Prior Authorization List – Health First

    Effective January 1, 2016 … Items listed may have limited coverage, or not be
    covered at all. … Referrals are not required for network specialist care. … List
    Code Reference for potentially-applicable procedure codes. …. therapy for non-
    healing wounds … Medicare members, all OON services require prior

    2016 CPT Code Changes,EMV – Manage My

    Oct 1, 2015 … The 300 new, deleted, revised, and converted CPT codes for. 2016 are here and
    you … 2016. This is also a great time to upload the 2016 Medicare allowables for
    your …… other techniques such as wound care, port care, etc. in the future. ….
    adherence to evidence-based care protocols and guidelines will.

    WC May/June 2012 – Wound Care Advisor

    current Medicare reimbursement guide- … guidelines, be prepared for the
    guidelines … FY 2016: 1.75% decrease … Procedure Coding System (HCPCS)

    View the memo – Quorum Consulting, Inc.

    Aug 10, 2015 … fiscal year (FY) 2016 Medicare payment policies and rates for … Proposals to
    Improve Quality of Care during Hospital Inpatient Stays … MEDICAL
    THAT … Combined with the FY 2016 documentation and coding recoupment …

    Moda Health Medical Necessity Criteria Subject: Prolotherapy …

    Aug 26, 2015 … A. Medicare Criteria will cover Platelet Rich Plasma for chronic non-healing …
    NCD: 270.3 Blood-Derived Products for Chronic Non-Healing Wounds … Annual
    Review: Added Medicare criteria, ICD-10 codes. 08/26/2016.

    Volume V, Issue 1. February 2014.

    APTA Working with Medicare Staff to Address Functional Limitation. Reporting
    Issues … The new active wound care management code 97610 replaces
    Category III code 0183T. The modality uses … Tips for Verification of Coverage in
    Health Insurance Marketplace Plans. As more … Revised CPT Codes Delayed
    Until 2016.

    Home Health Care – Oxford Health Plans

    Home Health Care: Clinical Policy (Effective 01/01/2016) … Unless otherwise
    stated, Oxford policies do not apply to Medicare … Refer to the Member's plan of
    benefits or Certificate of Coverage to determine ….. Home visit for wound care …
    nursing care only, not to be used when CPT codes 99500-99602 can be used).