Noridian’s Use of Scenarios Questioned

Noridian uses scenarios for the parenteral administration of iron in non-dialysis patients. The Noridian iron infusion Local Coverage Determination (LCD) is important for just about everyone since Noridian is the…

Comments Off on Noridian’s Use of Scenarios Questioned

A4556 Urodynamics Supply Advice Needs to Be in Writing

 Question: We have always reported A4556 for the electrodes our urologist uses during urodynamics procedures. This year, however, DMERC has refused reimbursement, stating we should instead be using code A4595 or A4557. Those two “replacement” code...

Comments Off on A4556 Urodynamics Supply Advice Needs to Be in Writing

PT Coders: Clinging to MD Approval? Check This Out

Question: Our hospital billing and medical departments say that diagnoses we add to a claim for reimbursement must have a physician endorsement. We’ve researched our Local Coverage Determination (L26884) from National Government Services, the Ingenix Coding & Payment Guide for...

Comments Off on PT Coders: Clinging to MD Approval? Check This Out