An article titled “Inappropriate Medicare Payments for Transforaminal Epidural Injection Services” addresses coverage and documentation requirements for transforaminal epidural injections. This is subsequent to a GAO report that found significant errors in the reporting and processing of claims for these procedures. The MLN article is available here.
We also want to make you aware of the MLN that CMS issued to serve as a reminder of the importance of properly reporting the place of service on submitted claims. This article, “The Importance of Correctly Coding the Place of Service by Physicians and Their Billing Agents” may be viewed here.