Just out! CMS has rescinded Transmittal 3530 and replaced it with Transmittal 3538...

Whether you are documenting to meet PQRS Measure 195 requirements or are treating an arterial stenosis by PTA for medical necessity, it is the documentation of the percentage (%) of stenosis that counts. Terms such as “mild”, “moderate”, or “severe”, without the specified percentage (%) are not specific enough...

Effective Date July 1, 2016 There has been a change in CMS policy regarding the use of the JW modifier (JW Drug amount discarded /not administered to any patient). Discarded drugs must be reported on a separate line item from the line item for the administered drug. Assign Modifier JW to the HCPCS code that identifies the amount discarded...