Don’t let the ambulatory surgery center setting blur your vision for proper payment. When a Medicare patient has a premium presbyopia-correcting (PC) intraocular lens (IOL) or an astigmatism-correcting (AC) IOL inserted for cataracts, instead of a regular IOL, ambulatory surgery centers (ASCs) must follow specific Medicare coding and billing guidelines to stay compliant. Many ASCs ...
Apr 1st, 2013
By Penny Osmon Bahr, BA, CPC, CPC-I, CHC, PCS The 2013 Medicare Physician Fee Schedule (MPFS) final rule makes several changes to the Physician Quality Reporting System (PQRS). Providers who begin reporting now in accordance with these changes stand to gain incentive payments, while those who don’t will soon suffer economic consequences. Incentives: The Good, ...
In CMS
Aug 27th, 2010
Palmetto GBA recently amended its Cataract Surgery Local Coverage Determinations (LCDs) to reflect a focus on the adult patient and a more complete description of functional status. In response to comments the J1 Part A/B Medicare administrative contractor (MAC) received, the title of the final policy was amended to appropriately reflect the adult patient population. ...
May 1st, 2010
By Kerin Draak, MS, WHNP-BC, CPC, CEMC, COBGC Providers of long-term care services must comply with several different regulating criteria, and it is the coder’s responsibility to understand applicable rules when coding these unique services. In recent years, there have been extensive changes in the Nursing Facility Services section of the CPT® manual. Although this ...