On October 1, Mo HealthNet will implement the ICD-10 changes that are effective for dates of service on or after October 1, 2017. The update includes the Clinical Modification (ICD-10-CM) diagnosis code changes and the Procedure Coding System (ICD-10-PCS) surgical proc...

On July 13, CMS issued a proposed rule to update payment policies and rates for services under the Medicare Physician Fee Schedule in 2018.  A full list of the proposed changes is available here.  They include:   

Payments for Off-Campus Provider-Bas...

Due to overwhelming demand, the Missouri Department of Health and Senior Services Office of Primary Care and Rural Health is offering another Rural Health Coding & Billing Specialist (RH-CBS) Training on March 20 and 21.  The training will be held at the Capital Mall C...

CMS has released an update that CPT code 76706 will replace HCPCS code G0389 for dates of service on or after January 1, 2017.  Section 5112 of the Deficit Reduction Act of 2005 allows for only one ultrasound screening test for an abdominal aortic aneurysm by Medicare....

CMS has updated the Medicare Benefit Policy Manual chapter on Rural Health Clinics to reflect changes in requirements and payment policies for 2017.  The key revised areas include: 

  • Section 110.3: Clarifies information on payment for Graduate Medical...

Be sure to check out CMS's updated rule for RHC certification regarding emergency preparedness.  The new requirement defines standards for: 

  • Emergency plans, which must be updated annually

  • Emergency preparedness testing and training

  • Cli...

In April 2016, CMS instructed RHCs to hold claims only for a billable visit shown in red on the Rural Health Clinic Qualifying Visit List until October 1, 2016. Upon billing these claims and/or for claim adjustments beginning on October 1, RHCs must add modifier CG (po...

CMS's Rural Health Solutions Summit will be held in Baltimore on October 19 from 9 am to 4 pm ET, and you can join the conference via livestream broadcast or the Kansas City Regional CMS Office.  

The Summit is designed to foster discussion on innova...

ICD-10 went live October 1, 2015.  CMS gave providers a one-year grace period for ICD-10 coded claims, saying they would not deny claims as long as providers used codes in the correct "family" for the treatment. 

This period of flexibility ends October 1, 2016...

During the September 14 Veto Session, the Legislature overrode Governor Nixon's veto of Senate Bill 608.  Among other provisions, this bill allows providers to charge Medicaid patients fees for missed appointments.  The fees would range from $5 to $20 depending on...

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