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Pathology Newsletters
September
2018
Pathology
New Jersey Passes “Surprise Bill” Legislation
MIPS 2017: The Results Are In
Ohio Anthem Facility Global Billing
Protecting Patient PHI Starts With Your Employees
AB3087 Shelved in California for 2018 Session
Changes Expected in 2019 to the Fine Needle Aspiration CPT Code Set
Additional Tests Added to the 14 Day Rule Exception for Outpatient MolPath and Advanced Diagnostic Laboratory Tests
Out-of-Network Balance Billing Continues To Draw Attention
MUE Changes for Medicare – Third Quarter
SC BCBS Prostate Biopsy Billing and Payment Issue
2019 Proposed Medicare Physician Fee Schedule Released: Shows Cuts Across the Board to Professional Fees; Raises to Most Technical Component Charges
What Pathologists Need to Know for MIPS in 2018
Medi-Cal to Reprocess 2 Years’ Worth of Improper Denials
September
2016
Pathology
Update: Special Histochemical and IHC Stain LCDs
Medicare Revalidations, Cycle 2
What You Need to Know About PAMA
Highlights from the CMS 2017 Medicare Physician Fee Schedule
Merit-Based Incentive Payment System (MIPS) Update
New Methodology Rate Adjustments on CA Medi-Cal Laboratory Fees
Coding Corner
Florida Becomes the Latest State to Enact Laws Shielding Patients from Out of Network Medical Bills
CA Assembly Bill Bonta (AB) 72 Out of Network
Blue Cross & Blue Shield of Mississippi Policy Changes Impacting Pathologists, Effective July 1, 2016
April
2016
Pathology
Are You Getting Paid on all of Your New CPT Codes in 2015 and 2016?
Changes for Immunofluorescence Studies
CA-AB533 (Out of Network Coverage)
Why We Need to Continue Our Focus on ICD-10-CM Implementation
Largest Multi-Payer Primary Care Initiative Launch in America
Coding Corner
The Impact of the Higher Patient Deductibles to the Modern Medical Practice
Special Histochemical and IHC Stain LCDs in the ICD-10 Era
ICD-10: Common Errors
July
2015
Pathology
FSP Comments on Proposed LCD for IHC Stains
Client Bill Option for Anatomic Pathology for Ohio Dermatologists is Out
2016 Medicare Physician Fee Schedule Update
Billing Flow Cytometry/Immunohistochemistry Codes
PQRS/MOC Update
California Out of Network Legislation Passes Senate Committee
CMS/AMA Agree on ICD-10 Leniency
Understanding Medicare's Medically Unlikely Edits
ICD-10 Update
Local Coverage Determination for IHC Stains
August
2014
Pathology
Palmetto Issues Coverage Advisories on GI Staining and Breast Cancer Testing
Having Issues Being Paid for HPV Testing?
2015 CMS Proposed Physician Fee Schedule Released
Coding Corner
OIG Issues Advisory on Possible Anti-Kickback Law Breaches
Medi-Cal Discontinues Payment on Certain Clinical Codes
CMS Enrollment Revalidation Continues
Follow Our ICD-10 Update Newsletter
Quantitative/Semi-Quantitative IHC CPT Coding
February
2014
Pathology
Where Did You Metal?
SGR Repeal Gains Momentum But Far From Complete
Referring Physicians Lead to Medicaid Denials
OIG Ends Donation of EHR from Laboratories
Laboratory Codes Bundled on OPPS Final Rule
ICD-10 IS Coming
CMS to Revalue CLFS
Clarification on Coding for IHC
Cigna to Deny Payment of PCCP
Cap of Lab Payments Avoided
December
2013
Pathology
CAP, ACLA Support Removing Anatomic Pathology from In-Office Ancillary Services Exception
PQRS: A Look at the Statistics
ACA Loophole and Potential Impact on Providers
HHS Delays HIPAA Requirement for Independent Labs
Credentialing: The Link Between Your Practice and Its Revenue
Gynecological Pap Smear Coding
PQRS MOC Incentive
July
2013
Pathology
Aetna Makes Radical Cuts to Fee Schedule
CMS' New EFT Form
HHS OIG Proposes Extension of EHR Safe Harbor
Coding for Bladder Biopsies and Resections
Obama Proposes End to In Office Ancillary Exception
Noridian New MAC for Jurisdiction E
Coding Corner
6 Factors Affecting Future Reimbursement for the CLFS
ICD-10 Update
Self Disclosure Protocol Revised by OIG
Document Method of Preparation for Cytology
Bill Would Exempt Pathologists from 'Meaningful Use' Penalties
February
2013
Pathology
Money in the Archives
Healthcare Exchanges Driving Down Reimbursement
Looming Sequestration Cuts
Coding Corner
New 2013 Code for Interpretation and Report for Molecular Diagnostics
Medicare Overpayment Recovery Period Extended
SGR Cuts Delayed Another Year
Prostate Biopsy Changes for 2013
CMS Enrollment Revalidation Continues
Underpayments Still an Issue in 2012
IHC Coding Reminders
December
2012
Pathology
Coding Corner
2014 Proposed Physician Quality Reporting System (PQRS)
Molecular Codes Placed on CLFS
More Cuts Looming from CMS
Bundle or Unbundle Lymph Nodes
Michigan Medicaid Update
CMS Place of Service Policy Delayed
Medicare Cuts 88305-TC by 52%
September
2012
Pathology
Pre-Payment RAC Audits May Delay Payment
Molecular Pathology Payment in Limbo
Michigan Medicaid Implements Reimbursement Limitations
In Office Pathology Unmentioned in New Medicare Fee Schedule
Discussion on Coding & Documentation for Pathology Specimens
Coding Corner
New ICD-10 Deadline Announced
Update on Prostate HCPCS Codes (G-0416-G-0419)
June
2012
Pathology
Aetna to Require Accreditation for In-Office Pathology Labs
CPT Coding Corner
In-Office Laboratories Under Scrutiny for Overutilization and No Link to Improved Patient Care
LEEP Cervical Biopsy vs. Conization
Medicare Place of Service Guidelines
The End of the TC Grandfather: What does it mean?
Underpayments Still Rampant in 2011
February
2012
Pathology
2012 Medicare: Some Closure
ANSI 5010 Enforcement Delayed
Uterus, Fibroids and Prolapse
CPT Coding Corner
Making Sense of the Molecular Pathology Coding Changes for 2012
Preparing for ICD-10
Unit of Service Changes for IHC Stains
September
2011
Pathology
CPT Coding Corner
Update on 2012 Medicare Physician Fee Schedule
New Pathology Quality Reporting Measures for 2012
Molecular Diagnostics Codes are Changing for 2012
Update: Illinois Out of Network Billing (HB 5085)
Update: Indiana Direct Billing Legislation
APS Stays Out Front with ANSI 5010 Implementation
Medicare Provider Enrollment Revalidation
LCD for CPT Code 88342
June
2011
Pathology
CPT Coding Corner
Update on CPT 88363: Clarification on Coding for this Service
Looming Deadline for ANSI 5010 Causes Concerns; APS First in Nation to Pass Anthem Testing
APS Reporting Update
State of Indiana Legislation Update
Commercial Carriers Continue to Pay Claims Incorrectly
Coding for Bone Specimens
February
2011
Pathology
CPT Coding Corner
Update on CMS Physician Signature Requirement
New CPT Codes for FISH Test
Maintenance of Certification Update
Coding for Archived Material for Molecular Testing (Code 88363)
Important Update on PECOS
Coding Changes for Fine Needle Aspiration
November
2010
Pathology
CPT Coding Corner
IHC “Cocktails”
United Healthcare Out of Network Class Action Suit
The Election and Prospects for a Physician Pay Fix
ICD-9 Update
ICD-9 Update
RAC Refund Demands Have Begun
CPT Codes: 88387 and 88388 for Macroscopic Dissection
August
2010
Pathology
CPT Coding Corner
Billing as a Non-Participating Provider in Illinois
Filing Appeals to CMS
PECOS
Refunds to Medicare and Medicaid
ICD-9 Coding Update
April
2010
Pathology
CPT Coding Corner
Reduction in Michigan Medicaid Reimbursement
PQRI Updates
Panic, But Calmly
Changes for Reporting CPT Codes 88172 & 88342
February
2010
Pathology
CPT Coding Corner
Date of Service Changes Rescinded
Grandfathered Labs on Shaky Ground
SGR Update
Remember to Document Additional Services
October
2009
Pathology
CPT Coding Corner
Battling the Hidden Discount
PQRI Checks Are on the Way
Proper Coding for Femoral Head or Joint Resection
CPT Coding for Sinus Contents
ICD-9 Update
Update on New MUE Edits
Are Your Preparing for the Conversion to ICD-10?
Blue Cross Blue Shield Reports Confidentiality Leak
July
2009
Pathology
CPT Coding Corner
ICD-10 Coding Update
Evaluation and Management Services for Fine Needle Aspirations
April
2009
Pathology
CPT Coding Corner
Coding for Physician Blood Bank Services
Blue Cross Blue Shield Announces Electronic Payments
Guidelines for Reporting Non-Diagnostic Specimens
January
2009
Pathology
CPT Coding Corner
Medical Necessity Denials for IHC Stain
ICD-10 Update
New “G” Codes for Prostate Saturation Biopsies
New Direct Billing Legislation in Ohio
October
2008
Pathology
CPT Coding Corner
Medicare’s Error Rate Testing Program
ICD-9 Update
ICD-10 Change Date Issued
Date of Service Changes for 2009
July
2008
Pathology
CPT Coding Corner
CMS Plans to Expand PQRI Program for 2008
ICD-9 CM Codes Are Out for 2009
U.S. House and Senate News
CMS Places a Hold on Physician Claims Payments
Coding for Cytology Specimens
April
2008
Pathology
CPT Coding Corner
PQRI Lightly Used in 2007
Medicare Physician Fee Schedule Fix
Medicare Fix Short Term
Documentation Requirements for Add-On Services
January
2008
Pathology
CPT Coding Corner
Stark Changes Deferred, Anti-Markup Enacted
Medicare Fix Short Term
Modifier Change in 2008
Physician Quality Reporting Initiative
October
2007
Pathology
CPT Coding Corner
RAC’s and MUE’s
Pathology & Laboratory Cytopathology Q&A
Diagnosis Coding News
ICD-9 Coding Update
July
2007
Pathology
CPT Coding Corner
Long Delays for Medicare Provider Numbers
CAP Named as Lead for Quality Reporting
NPI Registry Download Until August 1, 2007
Correct Coding for Bone Marrow Studies
April
2007
Pathology
Clarification for Reporting Frozen Sections & Touch Preps
Quest Buys Ameripath
Cocktails??
Labcorp Captures United Healthcare Contract
CPT Coding Corner
January
2007
Pathology
What is an NPI?
Ohio Law for Copies of Medical Records
Coding for Tzancks Smears
Process New NPI for Revised 1500 Health Insurance Claim Form
CPT Coding Corner
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