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Local Medicare Coverage Guidance on Drugs and Biologicals
Novitas Solutions has published a local coverage article regarding drugs and biologicals, effective Dec. 17, 2012.
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Contact Novitas Solutions with questions at:
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Articles on Novitas Transition
Modifier 25: The “Separately Identifiable E&M” Modifier
Don’t forget to append modifier 25 when warranted, or payers will consider your evaluation and management (E&M) service as part of a procedure, and not pay for it.
News From Novitas: Draft LCDs, Forms, and Errors to Avoid
Don’t miss an opportunity to comment on draft local coverage determinations that might affect your practice. Also, electronic data interchange enrollment forms have an update. And — Is your practice making any of the most common claims submission mistakes?
Know When to Use Modifier 26 in Medicare Claims
When Medicare procedures have both professional and technical components, modifiers 26 and TC may come into play. Don’t delay payment by forgetting to add modifier 26 when needed.
Revised LCDs Give Updated Medicare Coverage Information
Revised local coverage determinations (LCDs) from Novitas Solutions recently took effect or will take effect Aug. 13, 2015. See if any apply to your practice, and read their guidance for submitting correct Medicare claims to Novitas for payment.
Payer Roundup, March 2015
In case you missed these — here is a roundup of useful items from health care payment plans’ newsletters and updates, compiled by TMA’s reimbursement specialists. This month, we’ve included Medicare updates from Novitas Solutions, along with information from private payers.
Novitas: New Fee Schedule Look-Up Tool; New and Revised LCDs
Notivas has introduced a new and improved Medicare Physician’s Fee Schedule Code Search & Downloads tool. Novitas says it is a one-stop shop for all your fee schedule needs.
Do you make a habit of keeping an eye on Novitas Solutions’ local coverage determinations (LCDs) for Medicare coverage? Sign up to receive email alerts of the latest updates. Register for a free webinar on LCDs on May 16.
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