Apr 1st, 2015
Accurate claims payment hinges on your awareness of new CPT® codes and an epidural steroid injection reimbursement update. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB Pain medicine coding experienced an overhaul for 2015. Of particular interest to pain medicine physicians are Medicare payment changes for epidural steroid injections (ESI). A multitude of revised CPT® ...
Anesthesia for colorectal cancer screening is a separately billable service, if you follow guidelines. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB CPT® 2015 includes several coding and billing changes in the Anesthesia section, of which anesthesiologists should be aware. One significant change — which is great news for your Medicare patients — is the ...
Feb 1st, 2015
Change your focus from “qualitative vs. quantitative” to “presumptive, definitive, or therapeutic drug assay.” By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB The entire code set for drug screens is revamped in the CPT® 2015 codebook, as are the guidelines and definitions. Instead of differentiating testing procedures based on qualitative or quantitative methodology, the new ...
Jan 1st, 2015
Navigate complex state rules and comply with payers’ coverage guidelines and bylaws. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB In 2013, the American Medical Association (AMA) established a definition for a qualified healthcare professional (QHP), in terms of which providers may report medical services: “A ‘physician or other qualified health care professional’ is an ...