Effective October 15, a new Final Rule issued by the Centers for Medicare & Medicaid Services (CMS) will allow the Medicare Shared Savings ...

WASHINGTON – CMS has issued a final rule that addresses suspicious billing activity within the Medicare Shared Savings Program that resulted in an increase in DMEPOS billing for certain intermittent ...

The rule allows CMS to more closely monitor two Healthcare Common Procedure Coding System (HCPCS) billing codes for urinary catheters: A4352, an intermittent urinary catheter with a curved tip, and ...

The 2025 Physician Fee Schedule includes a methodology to address suspicious billing activity from 2024 onward. 2. The bill addressed two CPT codes identified as suspect: A4352, intermittent urinary ...

A bladder spoon may be used to remove the calculi in the bladder. A red rubber catheter of appropriate size should be passed retrograde and used to flush any remnant urethral calculi into the bladder ...

Medicare billing for codes A4352 and A4353, both intermittent urinary catheters ... which led to the top 15 billers of suspicious catheter claims having their Medicare enrollment revoked.

Without intervention, the urinary catheter scandal would “jeopardize the integrity of MSSP,” CMS explained. It details that two codes, both for different types of intermittent urinary ...

2. Two intermittent urinary catheter codes are flagged as highly suspect, and payments for them are excluded. Codes are considered suspect when there is an unexplained spike in claims, either in ...

Treatment may be needed every six to 12 months to maintain control. Intermittent catheterization: This involves using a urinary catheter to help drain the bladder when you cannot do so on your own.

While overactive bladder (OAB) can cause distress and affect your quality of life, self-care remedies can help you better control bladder spasms and reduce frequent urination and pain. These "fixes" ...