General Question for the Week of December 19, 2016

General Compliance Question of the Week

Question:

Do we have to assign a code if we don’t receive payment from Medicare for a procedure or supply?

Answer:

The Centers for Medicare & Medicaid Services continue to encourage hospitals to report a charge for each service they furnish, either by billing the HCPCS code and a charge for that service if separate reporting is consistent with CPT and CMS instructions or by reporting the charge for the packaged service with an appropriate revenue code but without a HCPCS code, when specific HCPCS codes are unavailable.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.