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

Smart Communications Inc., the wireless subsidiary of PLDT, on Friday issued an advisory informing its customers in Luzon of intermittent services. In a social media post, Smart said that “some ...

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 ...

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 ...

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 ...

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Heavy lifting and physical exertion are avoided until then. Because the bladder will have lost its ability to fully contract, you will need to permanently use intermittent catheters to fully drain the ...