New for 2018 includes 141 new codes and 11 new modifiers; 48
revised codes, 2 revised modifiers; 38 deleted codes, 2 deleted modifiers.
HCPCS CODE CHANGES:
19 new J codes, 81
new G codes for quality reporting.
Two new modifiers
related to the OPPS reimbursement change for drugs purchased through the 340B
program -- one new modifier for non-digital computed radiography technology and
one new modifier related to Medicare’s new coverage of diabetes prevention
programs, which begins in 2018.
New patient
relationship modifiers X1-X5 added for 2018 are for informational, voluntary
use only in 2018. These modifiers will be mandatory beginning in 2019.
A new modifier QQ, to
confirm that providers are complying with Medicare’s new appropriate use
criteria, which early adopters can begin reporting in July 2018. The policy
will be required in 2020.
CMS deleted bilateral
screening mammography code G0202, as well as diagnostic mammography codes
G0204-G0206, all of which included computer-aided detection. Instead, practices
should use CPT mammography codes 77065-77067.
Ready for 2018 ?
The time to prepare is now. Providers are urged to review
the quality reporting for 2018. Quality measures span four domains:
patient/caregiver experience, care coordination/patient safety, preventive
health, and at-risk populations.
State and federal governments increasingly are moving
toward a health care industry driven by quality. Health care practitioners
likely have noticed increased activity among Medicare Advantage payers
regarding quality initiatives.
SILBEN Health
Services, Inc., is your solution and a
quality resource to assist providers with today’s healthcare. For more details,
please contact:
Paul G.
Silverio-Benet
305-975-1171
Our Services:
HEDIS Compliance
MACRA-MIPS
Compliance
Coding &
Reimbursement
Local/State/Federal
Compliance
Medicare and Medicaid
Audits
Practice
Administrator
Provider
Contracting
Provider
Credentialing
Practice Analysis
HCC- MRA
Compliance
Opening Medical
Office
Retiring, closing,
or relocating a practice
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