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Gastro Coders: Be Aware of Medicare Screening Reqs Or Risk Payment Denial

Following 10-year-rule eliminates G0121 rejection.

If you slip up on screening colonoscopy claims’ frequency guidelines and eligibility requirements, Medicare will pay you zilch.

Use this guidance to capture every screening dollar your gastroenterologist deserves.

Home in on Eligibility Requirements for…

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Correct Coding Initiative: ‘Mutually Exclusive’ and ‘Bundled’ Defined

Decipher what column 1/column 2 means in this neurosurgery bundle example.

Question: Would you explain what the differences are between mutually exclusive and “column 1/column 2″ edits that come from the Correct Coding Initiative (CCI)?

Florida Subscriber

Answer: Mutually exclusive…

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21 Percent Pay Cut Kicked in April 1 — But MACs Are Holding Claims

No legislative wrangling can take place until April 12.

Unless Congress steps in soon, you could be facing the 21.2 percent Medicare pay cut that you’ve feared since January.

Despite several Congressional attempts to cobble together another temporary pay fix…

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