All posts by Experian Health

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JW Modifier: Drug Amount Discarded/Not Administered to...

Effective January 1, 2017, when processing claims for Part B drugs and biologicals, except those provided under Competitive Acquisition Program (CAP), the use of...

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New Unspecified Diagnosis Codes Excluded by CMS for 20...

On May 26, Centers for Medicare & Medicaid Services (CMS) outlined additional unspecified diagnosis codes the agency is excluding from both ICD-9 and ICD-10...

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Add-On Codes: CMS and Payment Policy...

An add-on code is a HCPCS/CPT code that describes a service that, with one exception (see next paragraph), is always performed in conjunction with...

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New CLIA Waived Tests...

On June 24, CMS released a change request informing contractors of new CLIA waived tests approved by the Food and Drug Administration. Since these...

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National Correct Coding Initiative Edits (NCCI)...

Back in 1996, the Centers for Medicare and Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) to promote correct coding and prevent...

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Review of Current Medicare Administrative Contractors...

Since Medicare’s inception in 1966, private health care insurers have processed medical claims for Medicare beneficiaries. Originally these entities were known as Part A...

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Stop Wasting Money Reworking Claims...

Did you know that it costs an average of $25 to rework a single claim?  It’s true, according to a recent Health IT News...

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Uncover and Monitor Potential Risks Associated with Co...

Increasing consumer regulations now opens healthcare providers to the same scrutiny that the Consumer Financial Protection Bureau (CFPB) and Federal Trade Commission (FTC) have...

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First-to-Market: Experian Health Delivers On Demand Co...

Experian Health has launched Coverage Discovery® on demand, which is integrated into Epic’s EMR. We are the first-to-market with this functionality for Epic. In addition to Coverage...

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