Becker's ASC

CMS Adds 13 New Modifiers, Extends Use of -FB

CMS has added 13 new modifiers and extended the one of one, as indicated in the January 2011 Integrated Outpatient Code Editor. Most of the new modifiers went into effect Jan. 1, but one new modifier ...
Becker's Hospital Review

CMS Establishes New 3-Day Payment Window Modifier

CMS has established a new payment modifier — PD Diagnostic or related nondiagnostic item or service provided in a wholly owned or operated entity to a patient admitted as an inpatient within 3 days, ...
Becker's Hospital Review

CMS Issues Transmittal to Correct and Prevent Misuse of Modifiers -PA, -PB and -PC

The Centers for Medicare and Medicaid Services has issued Transmittal 1867 (pdf), which is designed to help physicians, non-physician practitioners and hospitals, as well as Medicare Administrative ...
JD Supra

CMS Reverses 340B Payment Cuts for 2023 but Does Not Address Remedy for Prior Years

On November 3, the Centers for Medicare & Medicaid Services (CMS) issued an update to its Medicare Part B drug payment policy for hospitals participating in the 340B drug pricing program and reversed ...
JD Supra

CY 2023 Medicare Physician Fee Schedule: Medicare Telehealth Update

On November 2, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the CY 2023 Medicare Physician Fee Schedule Final Rule (Final Rule), which will take effect January 1, 2023. The Final ...