By Lisa Kropp, Coding and Credentialing Manager
2013 New, Deleted, and Revised CPT and HCPCS CODES:
Revisions, addition and deletions to the CPT and HCPCS code set are effective January 1, 2013. Use of deleted codes will delay payment, as we will need to return the charge slips to your office for the correct code.
To determine which clients will be impacted by the 2013 changes, we have compared these changes to each client’s procedures performed in 2012.
We have faxed, mailed or delivered customized reports to our Clients that are impacted by the 2013 CPT changes.
We apologize for the late notice, but based on the complexity of CPT changes, it took some time to compile thisinformation for you.
If you would like a complete listing of all the Deleted, New, and Revised Codes, we can provide that upon request.
Importance of Legible Medical Records
Medicare is reminding ALL providers that CMS MUST deny a service when it isn’t reasonable or necessary. To determine Medical Necessity, CMS must rely on the medical documentation submitted by the provider.
Therefore, legibility of clinical notes and other supporting documentation is critical to avoid denials.
ALL Medical records should be:
Complete and legible; and
- Include the legible identity of the provider and the date of service.
Amendments, Corrections and Delayed Entries MUST follow these record keeping principles:
- Clearly and permanently identify any amendments, corrections or addenda.
- Clearly indicate the date and author of any amendments, corrections, or addenda.
- Clearly identify all original content (do not delete).
Reviewers are required to authenticate the author by their handwritten or electronic signature. Note the following:
- If the signature is illegible or missing from the medical documentation (other than an order), the review contractor shall consider evidence in a signature log or attestation statement to determine the identity of the author of a medical record entry.
- If the signature is missing from an order, the review contractor shall disregard the order during the review of the claim (i.e. the reviewer will proceed as if the order was not received). Signature attestations are not allowable for orders.