The Centers for Medicare and Medicaid Services (CMS) has released the National Correct Coding Initiative (NCCI) Edits Version 24.0. Version 24.0 will be valid for dates of service beginning January 1, 2018 and ending March 31, 2018. Version 24.0 has some significant additions due to changes in CPT codes 97760 and 97761, the addition of CPT codes 97127 and 97763 and the deletion of CPT codes 29582, 29583 and 97532. In addition, there are changes to the edits for CPT codes 97750 and 97755 when billed on the same day as a physical or occupational therapy evaluation or reevaluation. Lastly,

The Centers for Medicare and Medicaid Services (CMS) has issued a final rule that makes significant changes to the Comparative Joint Replacement (CJR) model beginning on January 1, 2018. In addition, this rule finalizes the CMS proposal to cancel the Episode Payment Models (EPMs) and the Cardiac Rehabilitation (CR) Incentive Payment Model. The EPMs that have now been canceled include acute myocardial infarction, coronary artery bypass graft and surgical hip/femur fracture treatment episodes of care. Beginning January 1, 2018, the CJR model will be mandatory in 34 metropolitan statistical areas (MSAs) instead of the current 67 MSAs. For the remaining

A question I receive is can a speech-language pathologist (SLP) bill CPT code 92507 (treatment of speech, language, voice, communication, and/or auditory processing disorder, individual) or CPT code 92508 (treatment of speech, language, voice, communication, and/or auditory processing disorder, group) on the same day they also bill CPT code 97532 (development of cognitive skills to improve attention, memory)? To simplify the question, can an SLP bill 92507 and/or 92508 and 97532 on the same day for a patient who has Medicare as their insurance? The answer might surprise you! According to the National Correct Coding Initiative (NCCI)