Ask MSHO: Hospital Outpatient

Transitional Care Management Coding

Transitional Care Management Coding

Medicare Advantage Prior Authorization Requirement

Physician Compare

Billing for Kadcyla – New Drug

Bone Marrow Biopsy

Locum Tenens

Medicare Coverage for NCCN 2B Indication

Doctors Signing Nursing Note

Pass Through vs Non Pass Through Drug Reimbursement

New Medicare rules related to billing for referred services

Hydration vs Therapeutic Infusion

RVUs

Drug Packaging Threshold

Oncology Specific Seminars

Dietitian Billing

J8 Transition Appeals

Physician's office billing for labs

WPS denying claim for Vectibix

Denials for Neupogen (J1440 and J1441)

CO-50 denials for Neupogen (J1440 and J1441)

Denied claim for Vectibix stating “non-covered service”

Physician’s office billing for labs

Coding for Calcium Folinate

2012 Chemotherapy drugs for OPPS/outpatient hospital

Changing from NGS Medicare billing to WPS

Claim rejected in NGS appeal

Administration codes on the WPS LCD’s

Order of diagnosis for new claims to WPS

Physician Referral Law

Ordered and mixed drugs for no show patients

CMS billing of drugs given by infusion clinic

Charge for waste of medication when partial vial used

Credit for the APCs for the administration codes

Reimbursement