Urinary incontinence without open sacral or perineal wounds was one of the most common inappropriate indications for both placement (35.8%) and catheterization at the time of the survey (28.0% ...

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 ...

New York and Texas were behind a surge of bills submitted to Medicare across the last two years for intermittent urinary ...

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

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 ...

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 ...

Medicare billing for codes A4352 and A4353, both intermittent urinary catheters, reached up to 20 times the usual historical average in 2023, swelling to $3.1 billion from just $153 million two ...

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