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CE Articles
Interpreting the nuances between similar modifiers

Modifier assignment can be a confusing task, and that work is sometimes made more difficult by encountering a set of modifiers which apply to the same circumstance with only one differentiating factor. A review of some of these modifiers, including modifiers -PO, -PN, -73, and -74, can be essential for accurate claims submissions.

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Drug administration via external pumps requires clarification
CMS Special Edition article 1609 was released in April to clarify CMS’ policy on prolonged drug and biological infusions using an external pump. Valerie A. Rinkle, MPA, breaks down that article and discusses its billing and reimbursement implications in the first of this two-part series. 
Differentiating between implantable and external pump codes 96416 and G0498
In the second part of a two-part series on SE1609, Valerie A. Rinkle, MPA, distinguishes between CPT code 96416 and HCPCS code G0498 for billing and reimbursement purposes while outlining how practices can achieve compliance with CMS’ current external pump policy.  
Healthcare News: Full release of 2018 ICD-10-CM codes features nearly double amount of expected changes
CMS released the final 2018 ICD-10-CM codes on its website on June 13, and the release contained more code changes than expected following a preview of the new code set in April’s 2018 IPPS proposed rule. 
Q&A: What to do when an MUE should not apply to a claim
Q: We are now seeing medically unlikely edits (MUE) on HCPCS J codes and these are not correct. How do we handle these?
 

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